Provider Demographics
NPI:1790875250
Name:NIMMO, RONALD CLINTON (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CLINTON
Last Name:NIMMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 ESTATE ALTONA STE 6
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-5735
Mailing Address - Country:US
Mailing Address - Phone:340-777-5441
Mailing Address - Fax:
Practice Address - Street 1:3004 ESTATE ALTONA STE 6
Practice Address - Street 2:SUITE 206
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-5735
Practice Address - Country:US
Practice Address - Phone:340-777-5441
Practice Address - Fax:888-300-8247
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1045207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIBN6024842OtherOBSTETRICS AND GYNECOLOGY