Individual
MS. ANNE ELIZABETH MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
162 CHARLIES CREEK RD, IVA, SC 29655-9607
(864) 617-3756
Mailing address
162 CHARLIES CREEK RD, IVA, SC 29655-9607
(864) 617-3756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5074
SC
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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