Healthcare Provider Details

I. General information

NPI: 1588982185
Provider Name (Legal Business Name): GUIDO H. RING, M.D, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 09/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W 4TH AVE
CORDELE GA
31015-3214
US

IV. Provider business mailing address

106 W 4TH AVE
CORDELE GA
31015-3214
US

V. Phone/Fax

Practice location:
  • Phone: 229-271-3200
  • Fax: 866-242-7813
Mailing address:
  • Phone: 229-271-3200
  • Fax: 866-242-7813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number045325
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number045325
License Number StateGA

VIII. Authorized Official

Name: JULIE T NOBLES
Title or Position: BILLING
Credential:
Phone: 478-953-0024