Atwater, Ronald Clinton

Atwater, Ronald Clinton is an individual health care provider with primary practice located at 1178 5Th St Se , Cairo GA 39828-3141. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Atwater, Ronald Clinton can be contacted via phone (229) 377-2002.

Contact Information

Primary practice address
1178 5Th St Se Cairo GA 39828-3141
Phone: (229) 377-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X 72406 Georgia

Profile Details

NPI number 1104056951
LBN Legal business name Atwater, Ronald Clinton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Sep 17th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104056951 NPPES
Georgia MEDICAID 003148404A

Popular Providers