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Individual

DR. JAMES RYAN MACDONELL IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 LONG SHOALS RD, ARDEN, NC 28704-8794
(828) 252-7331
Mailing address
111 VICTORIA RD, ASHEVILLE, NC 28801-4811
(828) 252-7331
(828) 253-1123

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2020-02769
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2020-02769
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200063601
MD
Enumeration date
03/30/2010
Last updated
06/02/2021
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