Individual
MR. JAMES KEVIN DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
6094 ODELL ST, CUMMING, GA 30040-5704
(770) 846-5628
Mailing address
6094 ODELL ST, CUMMING, GA 30040-5704
(770) 846-5628
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
005759
GA
363A00000X
Physician Assistant
Primary
7633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2193566
AETNA
DE
01
—
5381641
AETNA
GA
Enumeration date
02/21/2007
Last updated
11/17/2015
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