Michael Doherty is a Diagnostic Radiology Physician based in Jackson, MS and is specialized in Diagnostic Radiology. Michael Doherty practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Michael Doherty is 1720011695 and holds a License No. 13889 (Mississippi).
The current practice location address for Michael Doherty is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-2538 and via fax at 601-815-1854.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180300 | 05 | AL | |
| 00119624 | 05 | MS | |
| 300085749 | 01 | MS | RAILROAD MEDICARE |
| 512G700003 | 01 | MS | MS MEDICARE - GROUP |
| DC7781 | 01 | RAILROAD MEDICARE GROUP # | |
| P01194855 | 01 | MS | RAILROAD MEDICARE PTAN |
| P00601123 | 01 | RAILROAD MEDICARE |
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