Dwayne T Daugherty in Decatur - Internal Medicine
Dwayne T Daugherty - NPI 1861493637
Dwayne T Daugherty is a Internal Medicine in Decatur, Georgia. Dwayne T Daugherty practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dwayne T Daugherty is 1861493637. The last update date is 2011-11-14.
Dwayne T Daugherty's current location address is 2801 N Decatur Rd, Decatur, Georgia. You can contact this provider via phone number 4042963111 and fax number 6786869521. The mailing address for Dwayne T Daugherty is 2801 N Decatur Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne T Daugherty |
|---|---|
| Address | 2801 N Decatur Rd, Decatur, Georgia |
| Phone Number | 4042963111 |
| Fax Number | 6786869521 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861493637 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2011-11-14 |
Provider Mailing Address Detail
| Address | 2801 N Decatur Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300335949 |
| Phone Number | 4042963111 |
| Fax Number | 6786869521 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 30041 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00433386A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dwayne T Daugherty by the Centers for Medicare & Medicaid Services?
The Dwayne T Daugherty has been issued the NPI (National Provider Identifier) 1861493637 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dwayne T Daugherty is physically located?
The Dwayne T Daugherty is physically situated at the following address: 2801 N Decatur Rd, Decatur, GA, 300335949.
What is Dwayne T Daugherty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dwayne T Daugherty is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861493637 to Dwayne T Daugherty?
The Centers for Medicare & Medicaid Services originally issued the 1861493637 to Dwayne T Daugherty on 2005-08-03.
When was the information pertaining to Dwayne T Daugherty most recently updated or revised?
The details related to Dwayne T Daugherty, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-14.