Squires, David Ronald

Squires, David Ronald is an individual health care provider with primary practice located at 3696 Wheeler Rd , Augusta GA 30909-6520. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Squires, David Ronald can be contacted via phone (706) 736-1830.

Contact Information

Primary practice address
3696 Wheeler Rd Augusta GA 30909-6520
Phone: (706) 736-1830
Fax: (706) 737-5103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 052835 Georgia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 052835 Georgia

Profile Details

NPI number 1376520148
LBN Legal business name Squires, David Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 29th, 2024 - about last year

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 1376520148 NPPES
Georgia Other 004423 BLUE CROSS BLUE SHIELD
Georgia Other 604802700 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 851030536A BLUE CROSS BLUE SHIELD
Georgia MEDICAID G52835 BLUE CROSS BLUE SHIELD
Georgia Other P00035368 BLUE CROSS BLUE SHIELD

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