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1720011695
MICHAEL DOHERTY
JACKSON, MS
NPI
1720011695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS 13889)
Enumeration Date
2006-07-07
Last Update Date
2016-01-27
Business Address
-- MICHAEL DOHERTY MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-2538
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Mailing Address
-- MICHAEL DOHERTY MD
2500 NORTH STATE ST
JACKSON, MS 39216
Phone number: 601-984-2538
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