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Contact Information

GARY C DAUGHERTY, LPN
107 WILEY CEMETERY LN
ROCKY TOP, TN37769-5700
 Phone: 865-659-7611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for GARY C DAUGHERTY · (Male)

NPI Number 1578332516
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/01/2024
Last updated 01/01/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 88802
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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