Provider Demographics
NPI:1821461732
Name:BATTLE, RONNIE SR
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:BATTLE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5634
Mailing Address - Country:US
Mailing Address - Phone:706-327-0279
Mailing Address - Fax:706-327-5294
Practice Address - Street 1:214 MUNSON DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31903-3310
Practice Address - Country:US
Practice Address - Phone:706-905-9650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health