Individual
RONALD CRAIG BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3035 N HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 664-0899
(731) 664-0946
Mailing address
3035 N HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 664-0899
(731) 664-0946
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
13290
MS
204R00000X
Electrodiagnostic Medicine Physician
MD0000019569
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD0000019569
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007457
TLC INDIVDUAL NO
TN
01
—
000000165519
UNISON NO
TN
01
—
165324700
US DEPT OF LABOR
TN
05
—
3857438
—
TN
01
—
4105383
BCBS OF TENNESSEE
TN
01
—
P00222025
RAILROAD MEDICARE NO
TN
Enumeration date
03/14/2006
Last updated
12/06/2018
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