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Individual

DR. JAMES PATRICK MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
124 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36771
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4519120001
PALMETTO GBA DMERC GROUP
NC
01
89015XT
MEDICAID GROUP ID
NC
05
8956170
NC
01
DE4365
RAILROAD MEDICARE GROUP ID
NC
Enumeration date
08/25/2005
Last updated
11/26/2014
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