Individual
DR. RONALD CLINTON ATWATER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
Mailing address
1178 5TH ST SE, CAIRO, GA 39828-3141
(229) 377-2002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72406
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148404A
—
GA
Enumeration date
07/14/2009
Last updated
09/17/2020
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