Provider Demographics
NPI:1659651925
Name:DONALDSON, ABIGAIL AUSTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:AUSTIN
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 1:1025 ROSE CREEK DR
Mailing Address - Street 2:SUITE 340
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6797
Mailing Address - Country:US
Mailing Address - Phone:678-398-7338
Mailing Address - Fax:
Practice Address - Street 1:1025 ROSE CREEK DR
Practice Address - Street 2:SUITE 340
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-6797
Practice Address - Country:US
Practice Address - Phone:678-398-7338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8528111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor