Individual
MICHAEL ANDREW DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(543) 740-4785
Mailing address
181 FLAT SHOALS AVE SE UNIT 9, ATLANTA, GA 30316-1578
(765) 517-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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