Provider Demographics
NPI:1679787212
Name:LOEBL, DONALD JR (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:LOEBL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1350 WALTON WAY
Mailing Address - Street 2:3RD FL CRITICAL CARE MEDICINE
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2612
Mailing Address - Country:US
Mailing Address - Phone:706-774-5713
Mailing Address - Fax:706-774-5789
Practice Address - Street 1:1350 WALTON WAY
Practice Address - Street 2:3RD FL CRITICAL CARE MEDICINE
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2612
Practice Address - Country:US
Practice Address - Phone:706-774-5713
Practice Address - Fax:706-774-5789
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2023-07-31
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Provider Licenses
StateLicense IDTaxonomies
GA26397207RP1001X
GA62136207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease