Healthcare Provider Details

I. General information

NPI: 1013970763
Provider Name (Legal Business Name): CATHERINE ANN RONAGHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST STE 107
SAVANNAH GA
31405-6089
US

IV. Provider business mailing address

5353 REYNOLDS ST STE 107
SAVANNAH GA
31405-6089
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-7630
  • Fax: 912-819-5860
Mailing address:
  • Phone: 912-819-7630
  • Fax: 912-819-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberH3602
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number90886
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberH3602
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number90886
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: