Organization
RONALD D PATRICK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D PATRICK M.D. (PRESIDENT)
(706) 331-5206
Entity
Organization
Contact information
Practice address
366 RACETRACK RD, MCDONOUGH, GA 30252-1022
(706) 331-5206
Mailing address
366 RACETRACK RD, MCDONOUGH, GA 30252-1022
(706) 331-5206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525819C
—
GA
01
—
02BDGQZ
MEDICARE PROVIDER
GA
05
—
437742618A
—
GA
Enumeration date
11/19/2009
Last updated
05/08/2015
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