Smith, Ronnie R

Smith, Ronnie R is an individual health care provider with primary practice located at 200 Maple Dr , Vidalia GA 30474-8907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Smith, Ronnie R can be contacted via phone (912) 537-9851.

Contact Information

Primary practice address
200 Maple Dr Vidalia GA 30474-8907
Phone: (912) 537-9851
Fax: (912) 537-9843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017886 Georgia

Profile Details

NPI number 1669465670
LBN Legal business name Smith, Ronnie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 24th, 2014 - about 10 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 1669465670 NPPES
Georgia MEDICAID 000144867A
Georgia Other 204764
Georgia Other 408113438
Georgia Other 581356947

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