Individual
JOHN W MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1208 TWO ISLAND CT, MT PLEASANT, SC 29466-7436
(843) 884-6653
Mailing address
PO BOX 751357, CHARLOTTE, NC 28275-1357
(843) 573-1517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18903
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T25675
—
SC
Enumeration date
04/18/2006
Last updated
10/14/2020
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