Provider Demographics
NPI:1639235633
Name:HARRY C MCDONALD, M.D.
Entity Type:Organization
Organization Name:HARRY C MCDONALD, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:CCS-P
Authorized Official - Phone:706-886-8477
Mailing Address - Street 1:201 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-6228
Mailing Address - Country:US
Mailing Address - Phone:706-886-8476
Mailing Address - Fax:706-282-0134
Practice Address - Street 1:201 FALLS RD
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-6228
Practice Address - Country:US
Practice Address - Phone:706-886-8476
Practice Address - Fax:706-282-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA027223207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP7313Medicare ID - Type UnspecifiedGEORGIA LEGACY PROVIDER