Individual
JOHN MATTHEW MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 QUEENS RD STE 540, CHARLOTTE, NC 28204-3215
(980) 302-6560
(980) 302-6565
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
39349
KY
207VX0201X
Gynecologic Oncology Physician
Primary
9801384
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909347
—
NC
05
—
64102924
—
KY
Enumeration date
06/15/2006
Last updated
08/19/2021
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