Provider Demographics
NPI:1760445852
Name:BEEBE, RONALD G (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:G
Last Name:BEEBE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:950 S ENOTA DR NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2413
Mailing Address - Country:US
Mailing Address - Phone:770-536-0470
Mailing Address - Fax:770-536-3031
Practice Address - Street 1:950 S ENOTA DR NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-536-0470
Practice Address - Fax:770-536-3031
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA030006207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000353075LMedicaid
GA000353075NMedicaid
GA000353075JMedicaid
GA52029274OtherBCBS
GA000353075IMedicaid
GA000353075KMedicaid
GAP00897212OtherRAILROAD MEDICARE
GA0811620OtherCIGNA
GA584715OtherWELLCARE OF GEORGIA
GAD44835OtherMEDICARE
GA01389421OtherAMERIGROUP
GA000353075MMedicaid
GA1246699OtherCOVENTRY
GA584715OtherWELLCARE