Individual
DR. EDGAR N DONAHOE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-2212
(662) 887-1279
Mailing address
122 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-2212
(662) 887-1279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12498
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114781
—
MS
Enumeration date
09/27/2006
Last updated
07/08/2007
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