Individual
MACKENZIE HILL DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 CARRAWAY DR, WINFIELD, AL 35594-5072
(205) 487-7556
Mailing address
7602 DANVILLE RD, HARTSELLE, AL 35640-7926
(256) 318-9189
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-166569
AL
Other
Enumeration date
02/20/2023
Last updated
05/11/2023
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