Nelson, Donald R
Nelson, Donald R is an individual health care provider with primary practice located at 104 Fairview Park Dr , Dublin GA 31021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Nelson, Donald R can be contacted via phone (478) 272-1366.Contact Information
Primary practice address
104 Fairview Park Dr
Dublin GA 31021
Phone: (478) 272-1366
Fax: (478) 277-1922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 024847 | Georgia |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 024847 | Georgia |
Profile Details
| NPI number | 1427036813 |
|---|---|
| LBN Legal business name | Nelson, Donald R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | May 4th, 2021 - about 3 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 | 1427036813 | NPPES |
| Georgia | Other | 1459269 | UNITED HEALTHCARE |
| Georgia | Other | 52048975-002 | UNITED HEALTHCARE |
| Georgia | Other | 5839179 | UNITED HEALTHCARE |
| Georgia | MEDICAID | 000290089C | UNITED HEALTHCARE |
| Georgia | Other | 5110781 | UNITED HEALTHCARE |
| Georgia | Other | P00688224 | UNITED HEALTHCARE |
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