Individual
DR. MICHAEL LEE DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9848 N TRYON ST, CHARLOTTE, NC 28262-5512
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
96-00518
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
96-00518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8928786
—
NC
Enumeration date
11/30/2005
Last updated
08/26/2010
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