John Daugherty in Jacksonville - Family Medicine
John Daugherty - NPI 1124076922
John Daugherty is a Family Medicine in Jacksonville, Arkansas. John Daugherty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Daugherty is 1124076922. The last update date is 2023-03-07.
John Daugherty's current location address is 1409 Braden St, Jacksonville, Arkansas. You can contact this provider via phone number 5019820576 and fax number 5019820041. The mailing address for John Daugherty is 1409 Braden St, Jacksonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Daugherty |
|---|---|
| Address | 1409 Braden St, Jacksonville, Arkansas |
| Phone Number | 5019820576 |
| Fax Number | 5019820041 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124076922 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1409 Braden St |
|---|---|
| City | Jacksonville |
| State | Arkansas (AR) |
| Post Code | 720763720 |
| Phone Number | 5019820576 |
| Fax Number | 5019820041 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | C-5390 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16194-1 | AR | FAA | |
| 5335127 | AR | AETNA | |
| 1569 | AR | SCHUMACHER GR TSG ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Daugherty by the Centers for Medicare & Medicaid Services?
The John Daugherty has been issued the NPI (National Provider Identifier) 1124076922, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Daugherty is geographically located?
The John Daugherty is physically situated at the following location: 1409 Braden St, Jacksonville, AR, 720763720.
What is John Daugherty's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Daugherty's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the John Daugherty's 1124076922 issued?
The John Daugherty's 1124076922 was issued on 2006-05-04.
As of what date were the details related to John Daugherty most recently updated or revised?
The information pertaining to John Daugherty, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.