Individual
ANDRE JOHN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 BILTMORE AVE, ASHEVILLE, NC 28801-4612
(828) 213-0594
(828) 213-0590
Mailing address
PO BOX 1987, INDIANAPOLIS, IN 46206-1987
(828) 213-0594
(828) 213-0590
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2007-01242
NC
2085N0700X
Neuroradiology Physician
5211171-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
2007-01242
NC
2085R0202X
Diagnostic Radiology Physician
5211171-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1471M
BCBS NC
NC
05
—
5908037
—
NC
05
—
D4942
—
UT
Enumeration date
09/29/2006
Last updated
02/13/2014
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