Marjorie Dougherty in Jacksonville - Physician Assistant
Marjorie Dougherty - NPI 1467433698
Marjorie Dougherty is a Physician Assistant in Jacksonville, Florida. Marjorie Dougherty practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marjorie Dougherty is 1467433698. The last update date is 2020-10-09.
Marjorie Dougherty's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Marjorie Dougherty is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marjorie Dougherty |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1467433698 |
|---|---|
| Provider Enumeration Date | 2005-11-05 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101050 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Marjorie Dougherty by the Centers for Medicare & Medicaid Services?
The Marjorie Dougherty has been assigned the NPI (National Provider Identifier) 1467433698. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marjorie Dougherty?
The Marjorie Dougherty is situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the zip code 322241865.
What is the Marjorie Dougherty's area of specialization and corresponding taxonomy classification?
The Marjorie Dougherty's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Marjorie Dougherty receive its 1467433698 assignment?
The Marjorie Dougherty was assigned its 1467433698 on 2005-11-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Marjorie Dougherty last refreshed?
The information related to the Marjorie Dougherty, including its address, specialty, and other relevant details, was last updated on 2020-10-09.