person
David Kenneth Doty, MD
Diagnostic Radiology Physician in Tifton, Georgia
NPI 1902899149

David Kenneth Doty is a Diagnostic Radiology Physician based in Eden Prairie, GA and is specialized in Diagnostic Radiology. David Kenneth Doty practices in Tifton, GA and has the professional credentials of MD. The NPI Number for David Kenneth Doty is 1902899149 and holds a License No. 049006 (Georgia).

The current practice location address for David Kenneth Doty is 4706 Woodland Dr E, Tifton, GA and can be reached out via phone at 952-595-1100 and via fax at 952-942-3361.

Location: 4706 Woodland Dr E, Tifton, GA, 55344-5347
person
Provider Profile Details
NPI Number
1902899149
Provider Name
David Kenneth Doty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4706 Woodland Dr E, Tifton, GA, 55344-5347
Phone Number
952-595-1100
Fax Number
952-942-3361
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3323297 01 KY MEDICARE 855R
91716 01 KY SIHO-KCR
64129620 05 KY
00875641A 05 GA
3427936000 01 KY PASSPORT ADVANTAGE
010348293 05 VA
102112303 05 PA
50017681 01 KY PASSPORT-KCR
000000548193 01 KY ANTHEM-KCR
institution
Provider Business Practice Location Address Details
Address
4706 Woodland Dr E
City
State
Zip
31794-2303
Phone Number
952-595-1100
Fax Number
952-942-3361
person
Provider Business Mailing Address Details
Address
4706 Woodland Dr E
City
State
Zip
31794-2303
Phone Number
952-595-1100
Fax Number
952-942-3361
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
049006 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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