Individual
DR. MANUEL PRESTON DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CENTER ST, STE 3N, MOBILE, AL 36604-1512
(251) 665-8200
(251) 665-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 665-8200
(251) 665-8210
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3645
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000053083
—
AL
01
—
200046072
RAILROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
02/21/2017
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