Doctor Name: | MR. PAUL MCDONALD |
NPI Number: | 1023420809 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-114040 |
Business Practice Address: | 1007 Goodyear Ave Gadsden, AL - 359031195 |
Business Phone Number: | 2564944573 |
Business Fax Number: | |
Mailing Address: | 1007 Goodyear Ave, GADSDEN |
State: | AL |
Postal Code: | 359031195 |
Phone Number: | 2564944573 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1-114040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |