Individual
DR. EDWARD FRANK MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 JESSE JEWELL PKWY SE, STE C, GAINESVILLE, GA 30501-3854
(770) 771-6916
(770) 771-6919
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
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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