Individual
RONALD L TOMLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1306 ALICE ST, WAYCROSS, GA 31501-4527
(912) 283-7951
(912) 285-7922
Mailing address
PO BOX 2007, WAYCROSS, GA 31502-2007
(912) 283-7951
(912) 285-7922
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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