Individual provider · Type 1 NPI

Ryan Dougherty, PA-C

Surgical Physician Assistant · Wilmington, NC

NPI number 1467173443 Active

Practice location

3787 Shipyard Blvd
Wilmington, NC 28403-6148

Call (910) 909-4163 Map

Mailing address

311 Arboretum Dr
Wilmington, NC 28405-6252

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0010-1249 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1467173443

Ryan Dougherty, PA-C's National Provider Identifier is 1467173443, issued on Sep 7, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wilmington, NC. The record was last updated on Sep 7, 2022.