Dougherty, William L

Dougherty, William L is an individual health care provider with primary practice located at 615 S Hansell St , Thomasville GA 31792-5556. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dougherty, William L can be contacted via phone (229) 226-2234.

Contact Information

Primary practice address
615 S Hansell St Thomasville GA 31792-5556
Fax: (229) 226-2237
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002982 Georgia

Profile Details

NPI number 1063520880
LBN Legal business name Dougherty, William L
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 26th, 2014 - about 10 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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