Individual
MARY N MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7205 WOLF RIVER BLVD, SUITE 150, GERMANTOWN, TN 38138-1758
(901) 752-4500
(901) 752-4328
Mailing address
PO BOX 1798, DEPT 95, MEMPHIS, TN 38101-9715
(901) 752-4500
(901) 752-4328
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160033801
RAILROAD MEDICARE
—
01
—
2568013
CIGNA
—
01
—
4032437
AETNA
—
01
—
71967
BCBS
TN
Enumeration date
06/17/2005
Last updated
12/27/2023
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