Beaudreau, Ronald
Beaudreau, Ronald is an individual health care provider with primary practice located at 2260 Wrightsboro Rd , Augusta GA 30904-4764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Beaudreau, Ronald can be contacted via phone (866) 313-5266.Contact Information
Primary practice address
2260 Wrightsboro Rd
Augusta GA 30904-4764
Phone: (866) 313-5266
Fax: (205) 313-5298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042175 | Georgia |
Profile Details
| NPI number | 1356345136 |
|---|---|
| LBN Legal business name | Beaudreau, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Sep 26th, 2007 - about 18 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 | 1356345136 | NPPES |
| Georgia | MEDICAID | 000716999F | |
| Georgia | MEDICAID | G45175 |
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