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1720021553
GLEN N DOUGHERTY
COLUMBIA, SC
NPI
1720021553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: SC 28734)
Enumeration Date
2006-06-13
Last Update Date
2021-08-24
Business Address
GLEN N DOUGHERTY MD
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
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Mailing Address
GLEN N DOUGHERTY MD
PO BOX 935722
ATLANTA, GA 31193-5722
Phone number: 843-792-6200
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