Individual
DR. EDMOND J MCDONNELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVENUE, FORT STEWART, GA 31314-5674
(912) 435-6633
Mailing address
1061 HARMON AVENUE, FORT STEWART, GA 31314-5674
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0029009
MD
Other
Enumeration date
03/10/2012
Last updated
10/24/2014
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