MICHAEL SHANNON DAUGHERTY

DOTHAN, AL
NPI1861430746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist Endodontics
(Licence: AL  AL-4912)
Enumeration Date2006-06-03
Last Update Date2011-05-18
Business Address
DR. MICHAEL SHANNON DAUGHERTY D.M.D.
1805 W MAIN ST SUITE 3
DOTHAN, AL 36301-1343
Phone number: 334-699-3636
Mailing Address
DR. MICHAEL SHANNON DAUGHERTY D.M.D.
200 GROVE PARK LN SUITE 600
DOTHAN, AL 36305-5911
Phone number: 334-699-3636