Individual
MR. RONALD TIMOTHY JABALEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 ELM ST, BLUE RIDGE, GA 30513-2906
(706) 492-4294
(706) 492-4226
Mailing address
PO BOX 1058, MC CAYSVILLE, GA 30555-1058
(706) 492-4294
(706) 492-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050718
GA
207R00000X
Internal Medicine Physician
23067
AL
207R00000X
Internal Medicine Physician
MD0000035694
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00056372C
—
GA
01
—
110243133
RAILROAD MEDICARE
—
05
—
3876328
—
TN
05
—
89066FE
—
NC
Enumeration date
11/21/2005
Last updated
04/15/2015
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