Individual
PENELOPE JANE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
Mailing address
PO BOX 1209, FRANKLIN, NC 28744-0569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33867
NC
208M00000X
Hospitalist Physician
33867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101052020
LICENSE
VA
01
—
33867
LICENSE
NC
05
—
7956465
—
NC
Enumeration date
03/09/2006
Last updated
03/07/2023
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