Individual
DR. MARY KATHERINE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5211 HIGHWAY 153, SUITE M, HIXSON, TN 37343-4956
(423) 648-7667
(423) 648-6279
Mailing address
PO BOX 80883, ATHENS, GA 30608-0883
(706) 549-0151
(706) 993-3343
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28536
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4097642
BLUE CROSS AND BLUE SHIELD
TN
01
—
P00194880
MEDICARE RAILROAD
—
Enumeration date
02/20/2006
Last updated
01/25/2016
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