Daugherty, Stephen Franklin

Daugherty, Stephen Franklin is an individual health care provider with primary practice located at 647 Dunlop Lane Suite 100, Clarksville TN 37040-5015. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Daugherty, Stephen Franklin can be contacted via phone (931) 551-8991.

Contact Information

Primary practice address
647 Dunlop Lane Suite 100 Clarksville TN 37040-5015
Fax: (931) 551-4053
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000022208 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 22208 Tennessee

Profile Details

NPI number 1720014723
LBN Legal business name Daugherty, Stephen Franklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 10th, 2023 - about last year

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 1720014723 NPPES
Tennessee MEDICAID 3066580

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