Healthcare Provider Details

I. General information

NPI: 1891608071
Provider Name (Legal Business Name): RONALD STRICKLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 FLORENCE RD # RS
SAVANNAH TN
38372-3484
US

IV. Provider business mailing address

6895 HIGHWAY 69
SAVANNAH TN
38372-6890
US

V. Phone/Fax

Practice location:
  • Phone: 731-400-3372
  • Fax:
Mailing address:
  • Phone: 731-400-3372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number2234
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: