Individual
DONALD ROBERT DORAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
975 HALL ST, WIGGINS, MS 39577-2107
(601) 528-9119
(601) 528-9193
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 528-9119
(601) 528-9193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15548
MS
207Q00000X
Family Medicine Physician
D73658
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118679
—
AL
Enumeration date
06/05/2006
Last updated
05/10/2017
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