Individual
DR. JONATHAN T. DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 WINGO WAY, SUITE 304, MT PLEASANT, SC 29464-1810
(843) 884-8045
(843) 881-5081
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
16227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00930463
RAILROAD MEDICARE ID-RSFPN
SC
05
—
TL2583
—
SC
Enumeration date
07/19/2005
Last updated
11/20/2020
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