Individual
GARY R. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 269-4584
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2300
(615) 386-2399
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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