Individual
DR. FRED MELVIN MCDONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, DOM, LAC
Contact information
Practice address
1351 STONEBRIDGE PKWY, WATKINSVILLE, GA 30677-6037
(706) 769-0720
(706) 769-8754
Mailing address
1351 STONEBRIDGE PKWY, WATKINSVILLE, GA 30677-6037
(706) 769-0720
(706) 769-8754
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000162
GA LIC#
GA
Enumeration date
09/28/2006
Last updated
07/08/2007
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