Individual
RONALD L TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
013095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00133207A
—
GA
01
—
024624
BLUE CROSS BLUE SHIELD
GA
01
—
10057865
AMERIGROUP
GA
01
—
339984
WELLCARE
GA
Enumeration date
12/08/2005
Last updated
12/18/2007
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