Doctor Name: | MRS. DONNA L MCCANN |
NPI Number: | 1063505550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 039171 |
Business Practice Address: | 210 W Main St Ste 4 Colquitt, GA - 39837 |
Business Phone Number: | 2295248996 |
Business Fax Number: | |
Mailing Address: | 210 W Main St, Ste 4 COLQUITT |
State: | GA |
Postal Code: | 39837 |
Phone Number: | 2295248996 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | 039171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |