Individual
DR. MARY JO MCDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
812 W HAGGARD AVE, ELON, NC 27244-9134
(336) 449-4030
(336) 449-5315
Mailing address
PO BOX 986513, DEPT 200, BOSTON, MA 02298-6513
(910) 219-8310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
178523
NY
208000000X
Pediatrics Physician
Primary
2016-00089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1167817
—
NY
Enumeration date
07/01/2005
Last updated
11/03/2023
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