Individual
DR. DAVID RONALD SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
(706) 737-5103
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
(706) 737-5103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
052835
GA
207RH0003X
Hematology & Oncology Physician
Primary
052835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004423
BLUE CROSS BLUE SHIELD
GA
01
—
604802700
UNITED HEALTHCARE
GA
05
—
851030536A
—
GA
05
—
G52835
—
SC
01
—
P00035368
RAILROAD MEDICARE
GA
Enumeration date
12/22/2005
Last updated
11/14/2024
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