Provider Demographics
NPI:1619000981
Name:DONALDSON, CATER WILSON (DC)
Entity Type:Individual
Prefix:DR
First Name:CATER
Middle Name:WILSON
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3511
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31706-3511
Mailing Address - Country:US
Mailing Address - Phone:229-888-7739
Mailing Address - Fax:229-888-7729
Practice Address - Street 1:2700 PALMYRA RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1885
Practice Address - Country:US
Practice Address - Phone:229-888-7739
Practice Address - Fax:229-888-7729
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO01540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor