Smith, Ronal Eugene

Smith, Ronal Eugene is an sole proprietor health care provider with primary practice located at 35 Harley Ln , Ringgold GA 30736-7391. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Smith, Ronal Eugene can be contacted via phone (706) 994-0350.

Contact Information

Primary practice address
35 Harley Ln Ringgold GA 30736-7391
Phone: (706) 994-0350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P0000001514 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY001390 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000001514 Tennessee

Profile Details

NPI number 1275699910
LBN Legal business name Smith, Ronal Eugene
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Mar 9th, 2009 - 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 1275699910 NPPES
Georgia MEDICAID 000424652A
Georgia MEDICAID 000424652C

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