Michael James Dougherty in Greenville - Pediatric Gastroenterology
Michael James Dougherty - NPI 1134228265
Michael James Dougherty is a Pediatric Gastroenterology in Greenville, South Carolina. Michael James Dougherty practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Michael James Dougherty is 1134228265. The last update date is 2018-03-23.
Michael James Dougherty's current location address is 200 Patewwod Drive, Greenville, South Carolina. You can contact this provider via phone number 8644545125 and fax number 8642419201. The mailing address for Michael James Dougherty is 200 Patewwod Drive, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael James Dougherty |
|---|---|
| Address | 200 Patewwod Drive, Greenville, South Carolina |
| Phone Number | 8644545125 |
| Fax Number | 8642419201 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1134228265 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2018-03-23 |
Provider Mailing Address Detail
| Address | 200 Patewwod Drive |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296153585 |
| Phone Number | 8644545125 |
| Fax Number | 8642419201 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 32324 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 323242 | SC | -- |
Post Comment/ Review Below
What is the Michael James Dougherty's unique identification number?
The Michael James Dougherty has been assigned the NPI (National Provider Identifier) Number 1134228265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Michael James Dougherty is physically located?
The Michael James Dougherty is situated at the following address: 200 Patewwod Drive, Greenville, SC 296153585.
What is Michael James Dougherty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael James Dougherty is Pediatric Gastroenterology, and the taxonomy code that classifies this field of practice is 2080P0206X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134228265 to Michael James Dougherty?
The Centers for Medicare & Medicaid Services originally issued the 1134228265 to Michael James Dougherty on 2006-09-22.
As of what date were the Michael James Dougherty's details last updated?
The information pertaining to the Michael James Dougherty, including its address, specialty, and other details, was most recently updated on 2018-03-23.