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
Fax: (205) 313-5298
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356345136 NPPES
Georgia MEDICAID 000716999F
Georgia MEDICAID G45175

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