Provider Demographics
NPI:1700971884
Name:GOODNIGHT, RONNIE RAY (ARRT-RT (R) (MR))
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:RAY
Last Name:GOODNIGHT
Suffix:
Gender:M
Credentials:ARRT-RT (R) (MR)
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:243 COUNTRY CLUB DR NE
Mailing Address - Street 2:UNIT #2
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2960
Mailing Address - Country:US
Mailing Address - Phone:704-782-0244
Mailing Address - Fax:
Practice Address - Street 1:1601 BRENNER AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2515
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3837752471C3402X, 2471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
Not Answered2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging