Individual
DR. RICHARD DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051B HAMILL RD, SUITE 210, HIXSON, TN 37343-4093
(423) 870-4400
(423) 870-8281
Mailing address
2051B HAMILL RD, SUITE 210, HIXSON, TN 37343-4093
(423) 870-4400
(423) 870-8281
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
6961
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3173936
—
TN
01
—
4049435
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/07/2006
Last updated
04/03/2008
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