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Individual
ANDREW STUART DONNAN III
Active
Individual
ANDREW STUART DONNAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001279
GA
363A00000X
Physician Assistant
Primary
2087
SC
363A00000X
Physician Assistant
TL2087
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847PA
—
SC
01
—
P01343360
RAILROAD MEDICARE
SC
Enumeration date
10/16/2006
Last updated
12/22/2020
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