Provider Demographics
NPI:1063050953
Name:MCDONALD, HILLARY (PA-C)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 MATAPEAKE BUSINESS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3046
Mailing Address - Country:US
Mailing Address - Phone:301-868-0202
Mailing Address - Fax:301-868-2331
Practice Address - Street 1:7704 MATAPEAKE BUSINESS DR STE 300
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3046
Practice Address - Country:US
Practice Address - Phone:301-868-0202
Practice Address - Fax:301-868-2331
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0007422363A00000X
MDC07422363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant