Provider Demographics
NPI:1922386457
Name:GOANS, RONALD EARL (MD, PHD, MPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EARL
Last Name:GOANS
Suffix:
Gender:M
Credentials:MD, PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 EAGLE BEND DRIVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-4029
Mailing Address - Country:US
Mailing Address - Phone:865-457-3996
Mailing Address - Fax:865-457-7590
Practice Address - Street 1:1422 EAGLE BEND DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-4029
Practice Address - Country:US
Practice Address - Phone:865-457-3996
Practice Address - Fax:865-457-7590
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD00000150632083P0500X
MDD00317142083P0500X
VA01010415822083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine