Michael James Dougherty
D.O. | Pediatric Gastroenterology | Male
Michael James Dougherty, D.O. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Michael James Dougherty is
200 Patewwod Drive, Suite A200, Greenville, South Carolina - 29615-3585. He can be contacted on phone at
864-454-5125 and fax number 864-241-9201.
Michael James Dougherty is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael James Dougherty is
1134228265 which was assigned by NPPES on 22 Sep, 2006 and it was last updated on 23 Mar, 2018.
Michael James Dougherty license number is
32324 for Pediatrics Pediatric Gastroenterology (2080P0206X) in South Carolina.
Michael James Dougherty 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 complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Michael James Dougherty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Michael James Dougherty |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Michael James Dougherty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Patewwod Drive, Suite A200
Greenville, SC, 29615-3585
United States |
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| Phone Number : | 864-454-5125 |
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| Fax Number : | 864-241-9201 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134228265 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2006 |
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| Last Updated On : | 23 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael James Dougherty are as mentioned. Primary taxonomy code for Michael James Dougherty, D.O. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | M4041 | TX |
| 208000000X | Pediatrics | No | 32324 | SC |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 32324 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Michael James Dougherty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 323242 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Independence Pt Ste 212
Greenville, SC, 29615-4536
United States |
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Business Location:
Patients can refer following map for directions to
Michael James Dougherty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.