Reagan, Ronald Clifton

Reagan, Ronald Clifton is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30045-7694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reagan, Ronald Clifton can be contacted via phone (678) 442-3317.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30045-7694
Phone: (678) 442-3317
Fax: (678) 442-4416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 024072 Georgia

Profile Details

NPI number 1912030206
LBN Legal business name Reagan, Ronald Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 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 1912030206 NPPES
Georgia MEDICAID 00356463E

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