Organization
RONALD S. REAGIN,D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD STEPHEN REAGIN D.P.M. (SOLE PROPRIETOR)
(912) 367-5281
Entity
Organization
Contact information
Practice address
656 S MAIN ST STE A, BAXLEY, GA 31513-0127
(912) 367-5281
(912) 367-5240
Mailing address
PO BOX 708, BAXLEY, GA 31515-0708
(912) 367-5281
(912) 367-5240
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000613
GA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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