Individual
DR. RHETT L DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7704 MATAPEAKE BUSINESS DR STE 310, BRANDYWINE, MD 20613-3046
(866) 953-3111
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA06345000
NJ
208800000X
Urology Physician
Primary
D0091343
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05654157
AETNA
—
01
—
0863531000
AMERIHEALTH
—
Enumeration date
01/30/2006
Last updated
03/12/2025
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