Individual
DR. THADDEUS LEVERNE MCDONALD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE, SUITE 306 - OB/GYN, RALEIGH, NC 27610-1247
(919) 350-8535
(919) 350-7310
Mailing address
3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8956145
—
NC
Enumeration date
08/09/2006
Last updated
07/08/2007
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