South, Ronald E

South, Ronald E is an individual health care provider with primary practice located at 1107 E Matthews Ave Suite 200, Jonesboro AR 72401-4315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. South, Ronald E can be contacted via phone (870) 931-4442.

Contact Information

Primary practice address
1107 E Matthews Ave Suite 200 Jonesboro AR 72401-4315
Phone: (870) 931-4442
Fax: (870) 931-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E0706 Arkansas

Profile Details

NPI number 1457314577
LBN Legal business name South, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 30th, 2010 - about 15 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 1457314577 NPPES
Arkansas MEDICAID 143512002
Arkansas MEDICAID 134615001

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