Individual
RONALD GUY TWILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4039 HIGHLAND ST, SUITE 5, MILAN, TN 38358-3483
(731) 686-1516
(731) 686-1518
Mailing address
4039 HIGHLAND ST, SUITE 5, MILAN, TN 38358-3483
(731) 686-1516
(731) 686-1518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000009018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202280
BLUECROSS BLUESHIELD
TN
05
—
3172759
—
TN
01
—
4535362
AETNA
TN
01
—
7794494
CIGNA
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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