Individual
GARY R. MCDONALD
Active
Individual
GARY R. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10078366
AMERIGROUP
TN
01
—
1074558
USA MCO
TN
01
—
110220160
MEDICARE RR
TN
01
—
12219843
MULTIPLAN/PHCS
TN
05
—
1507823
—
TN
01
—
2571436
CIGNA
TN
01
—
3164324
BLUE CROSS OF TN
TN
05
—
64916265
—
KY
01
—
977796
UNITED HEALTH CARE
TN
Enumeration date
06/08/2006
Last updated
08/07/2014
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