MEDICARE: DR. EDGAR N DONAHOE JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12498	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578654125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGAR N DONAHOE JR. M.D.

Provider Business Mailing Address
First Line	:	122 E BAKER ST
Second Line	:
City	:	INDIANOLA
State	:	MS
Zip	:	38751-2451
Country	:	US
Telephone Number	:	662-887-2212
Fax Number	:	662-887-1279

Provider Business Practice Location Address
First Line	:	122 E BAKER ST
Second Line	:
City	:	INDIANOLA
State	:	MS
Zip	:	38751-2451
Country	:	US
Telephone Number	:	662-887-2212
Fax Number	:	662-887-1279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1841285764 — DR. WILLIAM WADE DOWELL M.D.
Practice Location Address:

122 E BAKER ST
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-2212
Practice Fax: 662-887-1279

1598707051 — JAMES POE
Practice Location Address:

124 E BAKER ST
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-4533
Practice Fax: 662-887-4572

1023050564 — SOUTH SUNFLOWER COUNTY HOSPITAL
Practice Location Address:

110 E BAKER ST , SUITE A
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-7081
Practice Fax: 662-887-3920

1487685897 — SOUTH SUNFLOWER COUNTY HOSPITAL
Practice Location Address:

110 E BAKER ST
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-7339
Practice Fax: 662-887-3920

1245248699 — SOUTH SUNFLOWER COUNTY HOSPITAL
Practice Location Address:

122 E BAKER ST
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-2212
Practice Fax: 662-887-1279

1235220823 — MARY E MCNEER CFNP
Practice Location Address:

122 E BAKER ST
INDIANOLA, MS
38751-2451

Practice Phone: 662-887-2212
Practice Fax: 662-887-1279

Directions to “ DR. EDGAR N DONAHOE JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.