Provider Demographics
NPI:1942210745
Name:CALHOUN, RONALD EDWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EDWIN
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:42319 US HIGHWAY 72
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:AL
Mailing Address - Zip Code:35772-5418
Mailing Address - Country:US
Mailing Address - Phone:256-437-2223
Mailing Address - Fax:256-437-2225
Practice Address - Street 1:42319 US HIGHWAY 72
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:AL
Practice Address - Zip Code:35772-5418
Practice Address - Country:US
Practice Address - Phone:256-437-2223
Practice Address - Fax:256-437-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2013-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00026933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I41564Medicare UPIN