Individual
ANDREW STUART DONNAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2755 S HIGHWAY 14, SUITE 1200L, GREER, SC 29650-4902
(864) 849-9150
(864) 849-9334
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001279
GA
363A00000X
Physician Assistant
Primary
2087
SC
363A00000X
Physician Assistant
TL2087
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847PA
—
SC
01
—
P01343360
RAILROAD MEDICARE
SC
Enumeration date
10/16/2006
Last updated
12/22/2020
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