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General NPI Number Information
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NPI Number | 1053625962
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Entity Type | Organization
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Legal Business Name | RONNY J SAYERS MD PC
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 639 VESTAL RD
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City | SARDIS
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State | GA
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Zip | 30456-2155
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Country | US
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Telephone | 478-569-4406
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Fax | 478-569-4151
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Provider Business Mailing Address
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Address Line | 639 VESTAL RD
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City | SARDIS
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State | GA
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Zip | 30456-2155
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Country | US
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Telephone | 478-569-4406
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Fax | 478-569-4151
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RONNY J SAYERS
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Credential | MD
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Telephone | 478-569-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 24082
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License Number State | GA
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