Individual
RONALD LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
112 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 227-0045
(229) 227-9120
Mailing address
112 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 227-0045
(229) 227-9120
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003926
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002377B
—
GA
01
—
11DO266342
CLIA LAB NUMBER
GA
01
—
GRP1474
MEDICARE GROUP NUMBER
GA
Enumeration date
10/26/2006
Last updated
11/12/2015
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