Individual
RONALD GENE SUMPTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 OLD HALIFAX RD STE H, SOUTH BOSTON, VA 24592-4915
(336) 988-3966
Mailing address
3401 OLD HALIFAX RD STE H, SOUTH BOSTON, VA 24592-4915
(336) 988-3966
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
3168046
NC
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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