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MR. MYRON TODD MCDONALD FNP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1275534190
Individual Registrant:MR. MYRON TODD MCDONALD FNP-C
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1010 W FRANKLIN ST SYLVESTER, GA 31791-1900 US
Tel: 229-776-3500 Fax: --
Tel: 229-776-3500 Fax: --
Contact information for business:
2805 STONEWATER DR ALBANY, GA 31721-6226 US
Tel: 229-883-4045 Fax: --
Tel: 229-883-4045 Fax: --
Registration Information:
NPI: 1275534190
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN115747 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
