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NPI Code Detail

MEDICARE: DR. JOHN THOMAS MCDONALD JR. MEDICAL DOCTOR

MEDICARE:  DR. JOHN THOMAS MCDONALD JR. MEDICAL DOCTOR
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
1207Q00000XFamily Medicine PhysicianMD26306AL
2207V00000XObstetrics & Gynecology PhysicianMD26306AL

General Provider Information

NPI Number : 1073501326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN THOMAS MCDONALD JR. MEDICAL DOCTOR
Provider Business Mailing Address
First Line : 850 PETER BRYCE BLVD
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-7419
Country : US
Telephone Number : 205-348-1266
Fax Number : 205-348-1395
Provider Business Practice Location Address
First Line : 850 PETER BRYCE BLVD
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-7419
Country : US
Telephone Number : 205-348-1266
Fax Number : 205-348-1395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 07/21/2022

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Directions to “ DR. JOHN THOMAS MCDONALD JR. MEDICAL DOCTOR” Practice Location

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