Individual
DR. ROBERT EARL MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 510, SPARTANBURG, SC 29303-3098
(864) 560-1550
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12602
SC
207Q00000X
Family Medicine Physician
17953
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126027
—
SC
01
—
SC62355019
MEDICARE PIN
SC
Enumeration date
01/17/2006
Last updated
02/05/2020
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