Healthcare Provider Details

I. General information

NPI: 1568408276
Provider Name (Legal Business Name): CHRISTOPHER MCDONALD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 MALCOLM BLVD.
RUTHERFORD COLLEGE NC
28671
US

IV. Provider business mailing address

720 MALCOLM BLVD.
RUTHERFORD COLLEGE NC
28671
US

V. Phone/Fax

Practice location:
  • Phone: 828-879-7536
  • Fax: 828-879-7565
Mailing address:
  • Phone: 828-879-7536
  • Fax: 828-879-7565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number200201496
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: