Individual
DR. ALEXANDER HENRY MACDONELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 S HIGHWAY 14 STE 1200L, GREER, SC 29650-4902
(864) 849-9150
(864) 849-9334
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
83899
SC
207X00000X
Orthopaedic Surgery Physician
MD466843
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
838990
—
SC
01
—
SCI3637628
MEDICARE PIN
SC
Enumeration date
05/05/2014
Last updated
02/04/2021
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