David Kenneth Doty, MD | |
4706 Woodland Dr E, Tifton, GA 31794-2303 | |
(952) 595-1100 | |
(952) 942-3361 |
Full Name | David Kenneth Doty |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4706 Woodland Dr E, Tifton, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902899149 | NPI | - | NPPES |
3323297 | Other | KY | MEDICARE 855R |
91716 | Other | KY | SIHO-KCR |
64129620 | Medicaid | KY | |
00875641A | Medicaid | GA | |
3427936000 | Other | KY | PASSPORT ADVANTAGE |
010348293 | Medicaid | VA | |
102112303 | Medicaid | PA | |
50017681 | Other | KY | PASSPORT-KCR |
000000548193 | Other | KY | ANTHEM-KCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 049006 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Kenneth Doty, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1100 | David Kenneth Doty, MD 4706 Woodland Dr E, Tifton, GA 31794-2303 Ph: (952) 595-1100 |
Raymond C Evans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Wesley W Walker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1623 Madison Ave, Tifton, GA 31794 Phone: 229-386-1300 | |
Kelley P Douglas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Patrick T Crimmins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100 Fax: 229-391-4508 | |
Robin A Stoecker, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 | |
Wayne T Stewart, MD Radiology Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 912-287-1515 Fax: 912-287-1394 |