Donnelly, John William
Donnelly, John William is an individual health care provider with primary practice located at 4800 Olde Towne Pkwy Suite 150, Marietta GA 30068-4357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Donnelly, John William can be contacted via phone (770) 977-1510.Contact Information
Primary practice address
4800 Olde Towne Pkwy Suite 150
Marietta GA 30068-4357
Phone: (770) 977-1510
Fax: (770) 509-8858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 028398 | Georgia |
Profile Details
| NPI number | 1346242823 |
|---|---|
| LBN Legal business name | Donnelly, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 23rd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346242823 | NPPES |
| Georgia | MEDICAID | 000356023C | |
| Georgia | MEDICAID | 000356023D | |
| Georgia | MEDICAID | 000356023E |
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