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NPI Code Detail

MEDICARE: MRS. ANNE LOUISE MCDONALD ATC

MEDICARE: MRS. ANNE LOUISE MCDONALD ATC
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
12255A2300XAthletic Trainer142TN

General Provider Information

NPI Number : 1326000936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE LOUISE MCDONALD ATC
Provider Business Mailing Address
First Line : 1303 FENNER CT
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-8538
Country : US
Telephone Number : 615-595-0965
Fax Number :
Provider Business Practice Location Address
First Line : MEDICAL CENTER EAST, SOUTH TOWER, SUITE 3200
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0001
Country : US
Telephone Number : 615-835-7665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 07/08/2007

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