Individual
MR. CHARLIE JACKSON DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 CARVER RD, PLYMOUTH, MA 02360-4685
(508) 746-4601
Mailing address
30 BRADLEY HILL RD, HINGHAM, MA 02043-4626
(617) 835-7251
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
CT
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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