Organization
RONALD K. REAGIN, JR. D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD KELLEY REAGIN, JR. D.M.D. (CEO)
(229) 244-4656
Entity
Organization
Contact information
Practice address
2309 N PATTERSON ST, VALDOSTA, GA 31602-2510
(229) 244-4656
Mailing address
2309 N PATTERSON ST, VALDOSTA, GA 31602-2510
(229) 244-4656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012569
GA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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