Richard Allen Dougherty in Charlotte - Internal Medicine

Richard Allen Dougherty - NPI 1629068515

Richard Allen Dougherty is a Internal Medicine in Charlotte, North Carolina. Richard Allen Dougherty practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Allen Dougherty is 1629068515. The last update date is 2022-08-17.

Richard Allen Dougherty's current location address is 10450 Park Rd, Charlotte, North Carolina. You can contact this provider via phone number 7045419002 and fax number 7045426701. The mailing address for Richard Allen Dougherty is 10450 Park Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Allen Dougherty
Address 10450 Park Rd, Charlotte, North Carolina
Phone Number 7045419002
Fax Number 7045426701
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629068515
Provider Enumeration Date 2005-10-24
Last Updated Date 2022-08-17

Provider Mailing Address Detail

Address 10450 Park Rd
City Charlotte
State North Carolina (NC)
Post Code 282108505
Phone Number 7045419002
Fax Number 7045426701

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 9300686
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8929076 NC --

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FAQs about Richard Allen Dougherty

What is the unique 10-digit identifier code issued to Richard Allen Dougherty by the Centers for Medicare & Medicaid Services?

The Richard Allen Dougherty has been assigned the NPI (National Provider Identifier) 1629068515 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Richard Allen Dougherty is located?

The Richard Allen Dougherty is situated at the following address: 10450 Park Rd, Charlotte, NC, 282108505.

What is the Richard Allen Dougherty's specialty and taxonomy code?

The Richard Allen Dougherty's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date was the 1629068515 assigned to Richard Allen Dougherty?

The Richard Allen Dougherty was issued its 1629068515 on 2005-10-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Richard Allen Dougherty most recently updated or revised?

The information pertaining to Richard Allen Dougherty, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-17.

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