Provider Demographics
NPI:1205237971
Name:TOUPS, RONALD JR (RN)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:TOUPS
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 DRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30741-6171
Mailing Address - Country:US
Mailing Address - Phone:423-355-2799
Mailing Address - Fax:
Practice Address - Street 1:1907 DRY VALLEY RD
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30741-6171
Practice Address - Country:US
Practice Address - Phone:423-355-2799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN161900163WM0705X
246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant