Individual
CYNTHIA A DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
432 HOSPITAL DRIVE, WARRENTON, VA 20110
(540) 347-2805
(540) 347-5399
Mailing address
8650 SUDLEY ROAD, # 206, MANASSAS, VA 20110
(703) 368-9234
(703) 368-0505
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101055913
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007312296
—
VA
01
—
292150
ANTHEM BCBS
VA
Enumeration date
07/07/2006
Last updated
04/05/2010
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