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Individual

MR. DAVID M. DONELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HALTON GREEN WAY, GREENVILLE, SC 29607
(864) 987-0034
(864) 987-0036
Mailing address
PO BOX 27169, GREENVILLE, SC 29616-7169
(864) 987-0034
(864) 987-0036

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10906
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10906
MEDICAL LICENSE
SC
05
109064
SC
05
109064 GP#PC4223
SC
Enumeration date
08/15/2005
Last updated
06/24/2011
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