Provider Demographics
NPI:1215909627
Name:MCDONALD, ALLEN P III (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:P
Last Name:MCDONALD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2045 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1414
Mailing Address - Country:US
Mailing Address - Phone:404-355-0743
Mailing Address - Fax:404-355-2136
Practice Address - Street 1:2045 PEACHTREE RD NE
Practice Address - Street 2:SUITE 700
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1414
Practice Address - Country:US
Practice Address - Phone:404-355-0743
Practice Address - Fax:404-355-2136
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA223734207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0486290001OtherDME
MAJ28900OtherBCBS OF MA
GA426694286AMedicaid
0486290001OtherDME
MAJ28900OtherBCBS OF MA
MAA38865Medicare ID - Type Unspecified