Individual
DR. PATRICK ROWAN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
611 FRANKLIN ST, NATCHEZ, MS 39120-3311
(601) 445-4282
(601) 445-9197
Mailing address
611 FRANKLIN ST, NATCHEZ, MS 39120-3311
(601) 445-4282
(601) 445-9197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880068
—
MS
05
—
1466719
—
LA
01
—
410047932
RR MEDICARE
—
Enumeration date
10/25/2005
Last updated
04/22/2008
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