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NPI Code Detail

MEDICARE: DR. KATHERINE TAYLOE MACDONALD M.D.

MEDICARE: DR. KATHERINE TAYLOE MACDONALD M.D.
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
12080A0000XPediatric Adolescent Medicine Physician200600187NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200600187OTHERNCNORTH CAROLINA MEDICAL LI

General Provider Information

NPI Number : 1942260294
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE TAYLOE MACDONALD M.D.
Provider Business Mailing Address
First Line : 2706 MEDICAL OFFICE PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9460
Country : US
Telephone Number : 919-734-4736
Fax Number : 919-580-1018
Provider Business Practice Location Address
First Line : 2706 MEDICAL OFFICE PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-9460
Country : US
Telephone Number : 919-734-4736
Fax Number : 919-580-1018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 03/07/2023

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