Individual
KAREN D DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 BLYTHE BLVD, SUITE 500, CHARLOTTE, NC 28203-5863
(704) 355-5100
(704) 355-5180
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 355-5100
(704) 355-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100549
NC
363A00000X
Physician Assistant
Primary
100549
NC
363A00000X
Physician Assistant
1434
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0884PA
—
SC
05
—
1750304069
—
NC
05
—
8101103
—
NC
Enumeration date
07/26/2006
Last updated
01/09/2017
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