Individual
DR. JOHN JOEL DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FAAP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
06335
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010718
—
MS
05
—
1656674
—
LA
Enumeration date
06/12/2006
Last updated
06/13/2012
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