Docherty, Jon Harrell

Docherty, Jon Harrell is an individual health care provider with primary practice located at 600 E Palmetto St , Florence SC 29506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Docherty, Jon Harrell can be contacted via phone (843) 667-9414.

Contact Information

Primary practice address
600 E Palmetto St Florence SC 29506
Phone: (843) 667-9414
Fax: (843) 667-1362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 20811 South Carolina

Profile Details

NPI number 1336185057
LBN Legal business name Docherty, Jon Harrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 23rd, 2019 - 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 1336185057 NPPES
South Carolina MEDICAID 208117
South Carolina Other AA85152293

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