Individual
DR. JEAN P MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 HARPER ST, BLDG A, AUGUSTA, GA 30901
(706) 724-2261
(706) 724-2523
Mailing address
1348 WALTON WAY, STE 4100, AUGUSTA, GA 30901-5107
(706) 724-2261
(706) 724-2523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
056154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720005146A
—
GA
Enumeration date
09/12/2006
Last updated
06/07/2021
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