Individual
DR. EDGAR NEWTON DONAHOE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 PARK AVE, INDIANOLA, MS 38751-2355
(662) 887-1272
Mailing address
501 PARK AVE, INDIANOLA, MS 38751-2355
(662) 887-1272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3921-17
MS
Other
Enumeration date
06/22/2017
Last updated
06/16/2018
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