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Individual

RONALD A HOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1370 MONTREAL RD, STE 180, TUCKER, GA 30084
(404) 446-4600
(404) 446-4601
Mailing address
1370 MONTREAL RD, STE 180, TUCKER, GA 30084
(404) 446-4600
(404) 446-4601

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050105
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000940266K
GA
Enumeration date
05/19/2006
Last updated
04/14/2011
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