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NPI Code Detail

MEDICARE: RALPH H. DEAS M.D.

MEDICARE:   RALPH H. DEAS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician008418GA

General Provider Information

NPI Number : 1902896467
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH H. DEAS M.D.
Provider Business Mailing Address
First Line : 1131 STRINGER RIDGE RD
Second Line : UNIT 8 J
City : CHATTANOOGA
State : TN
Zip : 37405-3255
Country : US
Telephone Number : 423-752-3061
Fax Number : 706-861-7810
Provider Business Practice Location Address
First Line : 1281 BATTLEFIELD PKWY
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-4009
Country : US
Telephone Number : 706-861-7810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 12/13/2007

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Directions to “ RALPH H. DEAS M.D.” Practice Location

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