Individual
DEBORAH F. MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3001 N ASHLEY ST, VALDOSTA, GA 31602-1709
(229) 247-8484
(229) 247-7996
Mailing address
3001 N ASHLEY ST, VALDOSTA, GA 31602-1709
(229) 247-8484
(229) 247-7996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001047
GA
152W00000X
Optometrist
OPT001915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345694H
—
GA
05
—
00345694I
—
GA
01
—
41CZDLB
MEDICARE PTAN
—
Enumeration date
01/16/2006
Last updated
02/12/2013
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