Individual
ALLEN P MCDONALD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 700, ATLANTA, GA 30309-1414
(404) 355-0743
(404) 355-2136
Mailing address
2045 PEACHTREE RD NE, SUITE 700, ATLANTA, GA 30309-1414
(404) 355-0743
(404) 355-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
223734
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0486290001
DME
—
05
—
426694286A
—
GA
01
—
J28900
BCBS OF MA
MA
Enumeration date
02/02/2006
Last updated
08/01/2008
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