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Contact Information

KIMBERLY J STOUGHTON DOHERTY, MD
2040 DAN PROCTOR DR.
SUITE 140
SAINT MARYS, GA31558
 Phone: 912-673-8000
 Fax: 912-673-8008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY J STOUGHTON DOHERTY · (Female)

NPI Number 1154326932
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2005
Last updated 11/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 055981
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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