Provider Demographics
NPI:1255513412
Name:DONALDSON, DORINDA GAIL (DC)
Entity type:Individual
Prefix:MRS
First Name:DORINDA
Middle Name:GAIL
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:DORINDA
Other - Middle Name:GAIL
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:309 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-3335
Mailing Address - Country:US
Mailing Address - Phone:770-386-5262
Mailing Address - Fax:
Practice Address - Street 1:309 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3335
Practice Address - Country:US
Practice Address - Phone:770-386-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor