<Unavail>

LBN: Jon H. Docherty, Md
<Unavail> is an health care organization with primary practice located at 514 S Dargan St Suite G, Florence SC 29506-2552. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Jon H. Docherty, Md can be contacted via phone (843) 667-8561, or through Docherty, Jon H via phone (843) 667-8561.

Contact Information

Primary practice address
514 S Dargan St Suite G Florence SC 29506-2552
Phone: (843) 667-8561
Fax: (843) 673-0206
Website:
Map and Directions
Authorized official contact:
Name: Docherty, Jon H Doctor of Medicine (MD)
Phone: (843) 667-8561

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1013957521
LBN Legal business name Jon H. Docherty, Md
DBA Doing business as <Unavail>
Authorized official Docherty, Jon H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013957521 NPPES
South Carolina MEDICAID 077552

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