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Individual

MR. RYAN ANDREW DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
1820 N COLUMBIA ST STE F, MILLEDGEVILLE, GA 31061-7166
(706) 389-1260
(706) 786-0797
Mailing address
1820 N COLUMBIA ST STE F, MILLEDGEVILLE, GA 31061-7166
(706) 389-1260
(706) 786-0797

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
158
GA

Other

Enumeration date
04/08/2010
Last updated
07/21/2025
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