Provider Demographics
NPI:1649493966
Name:SOLOMON, DONALD JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JEFFREY
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3634
Mailing Address - Country:US
Mailing Address - Phone:910-640-2232
Mailing Address - Fax:910-640-2470
Practice Address - Street 1:506 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3634
Practice Address - Country:US
Practice Address - Phone:910-640-2232
Practice Address - Fax:910-640-2470
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC279782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC78382OtherBCBS
NC79-78382Medicaid
C86536Medicare UPIN
NC79-78382Medicaid