Provider Demographics
NPI:1194784793
Name:GIRARD, DONNA J (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:GIRARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:J
Other - Last Name:SPRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 QUEENS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3252
Mailing Address - Country:US
Mailing Address - Phone:704-333-7376
Mailing Address - Fax:704-333-3397
Practice Address - Street 1:200 HAWTHORNE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2515
Practice Address - Country:US
Practice Address - Phone:704-384-4188
Practice Address - Fax:704-384-5299
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC324362085R0001X
SC152182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1631903OtherUNITED HEALTHCARE
NC1676290009OtherCIGNA
NC26028OtherPARTNERS
NC62131OtherMEDCOST
SCN32436Medicaid
NC79031OtherBLUE CROSS
NC8979031Medicaid
SCE485376058Medicare ID - Type UnspecifiedSC MEDICARE
SCN32436Medicaid
NC62131OtherMEDCOST
NC1631903OtherUNITED HEALTHCARE
NC26028OtherPARTNERS
SC300012002Medicare ID - Type UnspecifiedRAILROAD
NC8979031Medicaid