Provider Demographics
NPI:1942279385
Name:RINGGOLD MEDICAL CENTER
Entity Type:Organization
Organization Name:RINGGOLD MEDICAL CENTER
Other - Org Name:DR PATRICK L TSUI DO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PART OWNER VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-935-4020
Mailing Address - Street 1:886 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736
Mailing Address - Country:US
Mailing Address - Phone:706-935-4020
Mailing Address - Fax:706-965-8228
Practice Address - Street 1:886 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736
Practice Address - Country:US
Practice Address - Phone:706-935-4020
Practice Address - Fax:706-965-8228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030915207Q00000X
TN761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4342599Medicaid
GA00373326AMedicaid
GA00373326AMedicaid
TN3302219Medicare ID - Type Unspecified