Organization
MARY K. MCDONALD MD PLLC
Active
Other names
Pain Medicine and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K MCDONALD M.D. (DIRECTOR PHYSICIAN)
(423) 648-7667
Entity
Organization
Contact information
Practice address
5211 HIGHWAY 153, SUITE M, HIXSON, TN 37343-4956
(423) 648-7667
(423) 648-6279
Mailing address
PO BOX 22816, CHATTANOOGA, TN 37422-2816
(423) 648-7667
(423) 648-6279
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (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
10/10/2006
Last updated
04/25/2008
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