Provider Demographics
NPI:1619048782
Name:MCDONELL, ANNE ASHLEY (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ASHLEY
Last Name:MCDONELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2430 EMERALD PL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5784
Mailing Address - Country:US
Mailing Address - Phone:252-752-2140
Mailing Address - Fax:252-752-3949
Practice Address - Street 1:2430 EMERALD PL
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5784
Practice Address - Country:US
Practice Address - Phone:252-752-2140
Practice Address - Fax:252-752-3949
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEEC-06-1076207L00000X
NC2011-01288207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC248506OtherMEDCOST
NC5919054Medicaid
NC166XUOtherBCBS OF NC
NC1619048782OtherTRICARE NORTH REGION
NCP01113213OtherRAILROAD MEDICARE
NC5919054Medicaid