DR. Ronald S Reagin SR., DPM

NPI #1104801265 in Baxley, Georgia

Provider Information

NPI Number: 1104801265
Entity Type: Individual
Name: DR. Ronald S Reagin SR., DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Dec 13, 2005
Last Updated: Oct 16, 2007

Practice Location

Address: 656 A-B S MAIN ST
City: Baxley
State: Georgia
ZIP Code: 31515
Phone: (912) 367-5281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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