Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIMBERLY JILL STOUGHTON-DOHERTY, MD
ActivePediatrics · ST. MARYS, GA
Registration Details
- NPI Number
- 1154326932
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2005 (20.906305469151 yrs)
- Last Updated
- Nov 4, 2016
- License
-
055981 (GA)
Practice Information
- Address
-
2040 DAN PROCTOR DR.SUITE 140ST. MARYS, GA, 31558Browse GA providers · Browse ZIP 31558
- Phone
- 9126738000
- Fax
- 9126738008
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ST. MARYS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RENALI AMPARO C. AGBAYANI-BAUTISTA | M.D. | 1336113299 |
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.