Healthcare Provider Details

I. General information

NPI: 1366400533
Provider Name (Legal Business Name): RINGGOLD PEDIATRIC CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7494 BATTLEFIELD PKWY
RINGGOLD GA
30736-7306
US

IV. Provider business mailing address

7494 BATTLEFIELD PKWY
RINGGOLD GA
30736-7306
US

V. Phone/Fax

Practice location:
  • Phone: 706-935-5437
  • Fax: 706-935-3004
Mailing address:
  • Phone: 706-935-5437
  • Fax: 706-935-3004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44748
License Number StateGA

VIII. Authorized Official

Name: DR. THOMAS DINH HO
Title or Position: OWNER
Credential: M.D.
Phone: 706-935-5437