Provider Demographics
NPI:1982699112
Name:YEISER, DONNA J (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:J
Last Name:YEISER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 BROOKSTONE CENTRE PARKWAY
Mailing Address - Street 2:#100
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904
Mailing Address - Country:US
Mailing Address - Phone:706-221-4602
Mailing Address - Fax:706-221-4620
Practice Address - Street 1:500 BROOKSTONE CENTRE PARKWAY
Practice Address - Street 2:#100
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-221-4602
Practice Address - Fax:706-221-4620
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2022-04-19
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Provider Licenses
StateLicense IDTaxonomies
GA042981208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000734214CMedicaid
GA000734214DMedicaid