Doctor Name: | ANN MARIE DOUGHERTY |
NPI Number: | 1730533662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | L004853 |
Business Practice Address: | 8300 Health Park Ste 325 Raleigh, NC - 276154730 |
Business Phone Number: | 9198701001 |
Business Fax Number: | 9195160673 |
Mailing Address: | 8300 Health Park, Ste 325 RALEIGH |
State: | NC |
Postal Code: | 276154730 |
Phone Number: | 9198701001 |
Fax Number: | 9195160673 |
NPI Enumeration Date: | 04/18/2016 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L004853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |