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NPI Code Detail

MEDICARE: DR. JEANA MARIE DONAHUE DO

MEDICARE:  DR. JEANA MARIE DONAHUE  DO
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 Physician2025-02204NC
2207Q00000XFamily Medicine Physician81740SC
3207Q00000XFamily Medicine Physician3208WV

General Provider Information

NPI Number : 1093107583
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANA MARIE DONAHUE DO
Provider Business Mailing Address
First Line : 222 HERLONG AVE S
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 222 HERLONG AVE S
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1158
Country : US
Telephone Number : 803-329-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2015
Last Update Date : 01/07/2026

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Directions to “ DR. JEANA MARIE DONAHUE DO” Practice Location

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