Homer, Ronald A
Homer, Ronald A is an sole proprietor health care provider with primary practice located at 1370 Montreal Rd Ste 180, Tucker GA 30084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Homer, Ronald A can be contacted via phone (404) 446-4600.Contact Information
Primary practice address
1370 Montreal Rd Ste 180
Tucker GA 30084
Phone: (404) 446-4600
Fax: (404) 446-4601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 050105 | Georgia |
Profile Details
| NPI number | 1124072822 |
|---|---|
| LBN Legal business name | Homer, Ronald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Apr 14th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124072822 | NPPES |
| Georgia | MEDICAID | 000940266K |
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