Healthcare Provider Details

I. General information

NPI: 1801876750
Provider Name (Legal Business Name): RONALD STEVEN GOINGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 CHURCH ST
CLIFTON FORGE VA
24422-1740
US

IV. Provider business mailing address

609 CHURCH ST
CLIFTON FORGE VA
24422-1740
US

V. Phone/Fax

Practice location:
  • Phone: 540-862-4730
  • Fax: 540-862-4833
Mailing address:
  • Phone: 540-862-4730
  • Fax: 540-862-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101033073
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: