Individual
DONALD R NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021
(478) 272-1366
(478) 277-1922
Mailing address
PO BOX 1528, DUBLIN, GA 31040-1528
(478) 272-1366
(478) 277-1922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024847
GA
207RI0200X
Infectious Disease Physician
024847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000290089C
—
GA
01
—
1459269
UNITED HEALTHCARE
GA
01
—
5110781
FIRST HEALTH
GA
01
—
52048975-002
BCBS
GA
01
—
5839179
AETNA
GA
01
—
P00688224
RR MEDICARE
GA
Enumeration date
01/05/2006
Last updated
05/04/2021
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