Individual
DONALD MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAAA
Contact information
Practice address
1640 AIRPORT RD NW, STE 110, KENNESAW, GA 30144-7038
(678) 202-2074
(770) 590-1442
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 351-1754
(404) 351-7121
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000390277
—
GA
Enumeration date
07/18/2006
Last updated
01/28/2014
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