Individual provider · Type 1 NPI

Glen N. Dougherty Jr., MD

Cardiovascular Disease Physician · Columbia, SC

NPI number 1720021553 Active

Practice location

2001 Laurel St
Columbia, SC 29204-1018

Call (803) 254-3278 Map

Fax (803) 929-3256

Mailing address

PO Box 935722
Atlanta, GA 31193-5722

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X28734 (SC)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1720021553

Glen N. Dougherty Jr., MD's National Provider Identifier is 1720021553, issued on Jun 13, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Columbia, SC. The record was last updated on Aug 24, 2021.