Daugherty, Dwayne T
Daugherty, Dwayne T is an individual health care provider with primary practice located at 2801 N Decatur Rd Suite 300, Decatur GA 30033-5949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Daugherty, Dwayne T can be contacted via phone (404) 296-3111.Contact Information
Primary practice address
2801 N Decatur Rd Suite 300
Decatur GA 30033-5949
Phone: (404) 296-3111
Fax: (678) 686-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 030041 | Georgia |
Profile Details
| NPI number | 1861493637 |
|---|---|
| LBN Legal business name | Daugherty, Dwayne T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Nov 14th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861493637 | NPPES |
| Georgia | MEDICAID | 00433386A |
Popular Providers
-
Dunn, Marisa
2124 Candler Rd Ste 500 , Decatur GA 30032-5572 -
Tafari, Solomon
2701 N Decatur Rd , Decatur GA 30033-5918 -
Harjee, Gulshan S
2536 Lawrenceville Hwy , Decatur GA 30033-3227 -
Jingo, Ahmad K
3424 Flat Shoals Rd , Decatur GA 30034-6525 -
Flynn, Timothy R.
2124 Candler Rd , Decatur GA 30032-5572 -
Baney, Richard Neil
2124 Candler Rd , Decatur GA 30032-5572 -
Mizell, Thomas J.
2801 N Decatur Rd Suite 320, Decatur GA 30033-5949 -
Singh, Jitendra P.
2801 N Decatur Rd Ste 300, Decatur GA 30033-5949