Daugherty, Ray Scott

Daugherty, Ray Scott is an individual health care provider with primary practice located at 7777 Hennessy Blvd Ste 206 , Baton Rouge LA 70808-4363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Daugherty, Ray Scott can be contacted via phone (225) 767-1156.

Contact Information

Primary practice address
7777 Hennessy Blvd Ste 206 Baton Rouge LA 70808-4363
Phone: (225) 767-1156
Fax: (225) 767-5980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 205766 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 54562 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 54562 Tennessee
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 205766 Louisiana

Profile Details

NPI number 1144544164
LBN Legal business name Daugherty, Ray Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Apr 18th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144544164 NPPES
Arkansas MEDICAID 216071001
Arkansas MEDICAID 08603276
Arkansas Other 6082717
Arkansas MEDICAID Q023627

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