Provider Demographics
NPI:1285663401
Name:DANDY, RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:DANDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9104 MIDDLEGROUND RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-9945
Mailing Address - Country:US
Mailing Address - Phone:912-232-9700
Mailing Address - Fax:912-201-1608
Practice Address - Street 1:9104 MIDDLEGROUND RD STE 1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-9945
Practice Address - Country:US
Practice Address - Phone:912-232-9700
Practice Address - Fax:912-201-1608
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046074174400000X
GA46074207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA021262938AMedicaid
GA18BDGGLMedicare ID - Type UnspecifiedOPHTHALMOLOGY