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MR. MYRON TODD MCDONALD FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1275534190

Individual Registrant:
MR. MYRON TODD MCDONALD FNP-C
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: --

Contact information for business:
2805 STONEWATER DR  ALBANY, GA 31721-6226 US
Tel: 229-883-4045  Fax: --

Registration Information:
NPI: 1275534190
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN115747

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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