Individual
RHONDA LYNN ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
770 WALNUT ST, MACON, GA 31201-7307
(478) 787-4266
(478) 787-4199
Mailing address
PO BOX 4363, MACON, GA 31208-4363
(478) 787-4266
(478) 787-4199
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN105840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048613450A
PEACH STATE
GA
05
—
048613450A
—
GA
Enumeration date
11/09/2006
Last updated
05/28/2015
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