Individual
DR. JOSEPH JAMES DOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WT HARRIS BLVD, SUITE 5103, CHARLOTTE, NC 28262-3485
(704) 547-9196
(704) 547-8775
Mailing address
1918 RANDOLPH RD, SUITE 130, CHARLOTTE, NC 28207-1100
(704) 364-8100
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2015-00853
NC
208600000X
Surgery Physician
43281
KY
208600000X
Surgery Physician
57-010147
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710005087
NPI
—
05
—
1710005087
—
NC
05
—
7100155740
—
KY
01
—
P00908022
RR MEDICARE PTAN
OH
Enumeration date
03/26/2007
Last updated
08/01/2016
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