Jabaley, Ronald Timothy

Jabaley, Ronald Timothy is an sole proprietor health care provider with primary practice located at 6 Elm St , Blue Ridge GA 30513-2906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jabaley, Ronald Timothy can be contacted via phone (706) 492-4294.

Contact Information

Primary practice address
6 Elm St Blue Ridge GA 30513-2906
Fax: (706) 492-4226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000035694 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 050718 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23067 Alabama

Profile Details

NPI number 1558344994
LBN Legal business name Jabaley, Ronald Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Apr 15th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558344994 NPPES
North Carolina MEDICAID 89066FE
North Carolina MEDICAID 00056372C
North Carolina Other 110243133
North Carolina MEDICAID 3876328

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