Individual
MR. SAMUEL DAVID MCDONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
644 COUNTY ROAD 286, QUITMAN, MS 39355-8480
(601) 274-0636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
LA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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