Daugherty, Larry D.
Daugherty, Larry D. is an sole proprietor health care provider with primary practice located at 124 Island Professional Park , St Simons Island GA 31522. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Daugherty, Larry D. can be contacted via phone (912) 434-4121.Contact Information
Primary practice address
124 Island Professional Park
St Simons Island GA 31522
Phone: (912) 434-4121
Fax: (912) 268-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10020 | Georgia |
Profile Details
| NPI number | 1053493486 |
|---|---|
| LBN Legal business name | Daugherty, Larry D. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Feb 24th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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