Individual
MARK ANTHONY DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 690-8853
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 690-8853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13856
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011846
MEDICARE GROUP NUMBER
AL
01
—
1063439065
SITE NPI MCARE GROUP PAYEE
AL
05
—
631300093
—
AL
Enumeration date
07/31/2006
Last updated
05/06/2008
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