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Individual

DR. EDWARD FRANK MCDONALD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
041890
GA
2084N0400X
Neurology Physician
Primary
041890
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000707462F
GA
01
01321811
AMERIGROUP
GA
01
339957
WELLCARE
GA
01
4888077
CIGNA
GA
01
52507454
BCBS
GA
01
9273436
AETNA
GA
01
P00801887
MEDICARE RAILROAD
GA
Enumeration date
08/20/2006
Last updated
10/23/2018
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