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Individual
DR. DAVID RONALD SQUIRES
Active
Individual
DR. DAVID RONALD SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
052835
GA
207RH0003X
Hematology & Oncology Physician
Primary
052835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004423
BLUE CROSS BLUE SHIELD
GA
01
—
604802700
UNITED HEALTHCARE
GA
05
—
851030536A
—
GA
05
—
G52835
—
SC
01
—
P00035368
RAILROAD MEDICARE
GA
Enumeration date
12/22/2005
Last updated
11/14/2024
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