Individual
CHERYL CROFT DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2817 REILLY ROAD MCXC-COD CREDENTIALING, WOMACK ARMY MEDICAL CENTER, FT. BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ROAD MCXC-COD CREDENTIALING, WOMACK ARMY MEDICAL CENTER, FT. BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001565
GA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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