Individual
DR. RONALD DAITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1348 WALTON WAY, SUITE 4100, AUGUSTA, GA 30901-5107
(706) 722-1381
(706) 823-6871
Mailing address
1348 WALTON WAY, SUITE 4100, AUGUSTA, GA 30901-5107
(706) 722-1381
(706) 823-6871
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12214
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00065194B
—
GA
Enumeration date
08/08/2006
Last updated
11/20/2012
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