Healthcare Provider Details

I. General information

NPI: 1992784433
Provider Name (Legal Business Name): DAVE A RINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 PARK DR
GREENSBORO GA
30642-3465
US

IV. Provider business mailing address

1041 PARK DR
GREENSBORO GA
30642-3465
US

V. Phone/Fax

Practice location:
  • Phone: 706-453-4945
  • Fax: 706-453-2954
Mailing address:
  • Phone: 706-453-4945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30368
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: