Individual
JASON DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE RD. NE, ATLANTA, GA 30308
(404) 778-3900
Mailing address
550 PEACHTREE RD. NE, ATLANTA, GA 30308
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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