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Individual

DR. RONALD IAN MCDERMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
824 WREN RD, GOODLETTSVILLE, TN 37072-2312
(615) 851-8959
(615) 851-5949
Mailing address
824 WREN RD, GOODLETTSVILLE, TN 37072-2312
(615) 851-8959
(615) 851-5949

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28589
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01035857
AMERIGROUP
01
205724681
UNITED HEALTHCARE
01
3736131
MEDICARE GROUP PRICING NO
05
3818316
TN
01
4152576
BCBS
01
7197644
AETNA
01
9842836002
CIGNA
01
G58444
HEALTHSPRING
01
SSN
TRICARE
01
TN0101
AMERICHOICE
Enumeration date
08/18/2006
Last updated
11/05/2008
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