Individual
RONALD B. TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(678) 235-6787
Mailing address
3367 RENAISSANCE PARK PL, CARY, NC 27513-2279
(808) 277-0267
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00553
NC
Other
Enumeration date
01/31/2011
Last updated
11/08/2012
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