Individual
MRS. DONNA L MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 W MAIN ST, STE 4, COLQUITT, GA 39837
(229) 524-8996
Mailing address
210 W MAIN ST, STE 4, COLQUITT, GA 39837
(229) 524-8996
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
039171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623246B
—
GA
Enumeration date
10/02/2006
Last updated
07/08/2007
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