Individual
ALLAN ROBERTSON MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4289
(864) 455-7800
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15203
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152033
—
SC
Enumeration date
05/01/2006
Last updated
08/21/2013
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