Provider Demographics
NPI:1922346402
Name:SATTERFIELD, RONALD REID (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:REID
Last Name:SATTERFIELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 E PINETREE BLVD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-4865
Mailing Address - Country:US
Mailing Address - Phone:229-228-6419
Mailing Address - Fax:229-228-6424
Practice Address - Street 1:2551 E PINETREE BLVD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-4865
Practice Address - Country:US
Practice Address - Phone:229-228-6419
Practice Address - Fax:229-228-6424
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH014366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist