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DR. KIMBERLY JILL STOUGHTON-DOHERTY MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1154326932

Individual Registrant:
DR. KIMBERLY JILL STOUGHTON-DOHERTY MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2040 DAN PROCTOR DR. SUITE 140 ST. MARYS, GA 31558 US
Tel: 912-673-8000  Fax: 912-673-8008

Contact information for business:
2040 DAN PROCTOR DR. SUITE 140 ST. MARYS, GA 31558 US
Tel: 912-673-8000  Fax: 912-673-8003

Registration Information:
NPI: 1154326932
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA055981

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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