Individual
RONALD EDWARD TRESCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MAGNOLIA CT, MOULTRIE, GA 31768-6771
(229) 985-2198
Mailing address
PO BOX 3233, MOULTRIE, GA 31768-6771
(229) 985-2198
(229) 891-3250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
041233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00852992B
—
GA
01
—
0700884
UNITED HEALTHCARE
—
01
—
160054545
RAILROAD MEDICARE
—
01
—
30020595
KEYSTONE MERCY HEALTHPLAN
—
01
—
52754585002
STATE MERIT
—
Enumeration date
09/08/2005
Last updated
02/06/2018
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