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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN MICHAEL DOROUGH, AA

Active

JOHN MICHAEL DOROUGH, AA is a Physician Assistant healthcare provider located in SAINT SIMONS ISLAND, Georgia. NPI 1063460236 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAINT SIMONS ISLAND, GA

Registration Details

NPI Number
1063460236
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2006 (20.251560670331 yrs)
Last Updated
Jul 31, 2013
Licenses
001777 (GA)
AA91 (FL)

Practice Information

Address
161 RAYMONDS GRANT TRCE
SAINT SIMONS ISLAND, GA, 315225393
Browse GA providers · Browse ZIP 31522
Phone
9126389734
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Anesthesiologist Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.