Individual
MRS. JULIA IRENE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003119893E
—
GA
05
—
003119893F
—
GA
05
—
003119893G
—
GA
05
—
003119893J
—
GA
05
—
003119893K
—
GA
Enumeration date
03/24/2009
Last updated
05/21/2023
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