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1760542047

NPI Code Detail

MEDICARE: JOSHUA BENJAMIN DONNER MD

MEDICARE: JOSHUA BENJAMIN DONNER MD

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	208000000X	Pediatrics Physician	036141	GA
2	2080P0202X	Pediatric Cardiology Physician	036141	GA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760542047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA BENJAMIN DONNER MD

Provider Business Mailing Address
First Line	:	221 TECHNOLOGY PKWY NW
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30165-1369
Country	:	US
Telephone Number	:	762-235-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 REDMOND RD NW
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30165-1416
Country	:	US
Telephone Number	:	706-235-3855
Fax Number	:	706-290-2382

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

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	05/04/2026

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Directions to “ JOSHUA BENJAMIN DONNER MD” 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.

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