MEDICARE: RONALD WALTER HERTWIG JR.

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1952937344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD WALTER HERTWIG JR.

Provider Business Mailing Address
First Line	:	114 BROADMOOR DR
Second Line	:
City	:	FLAT ROCK
State	:	NC
Zip	:	28731-9570
Country	:	US
Telephone Number	:	770-330-0239
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 BROADMOOR DR
Second Line	:
City	:	FLAT ROCK
State	:	NC
Zip	:	28731-9570
Country	:	US
Telephone Number	:	770-330-0239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2020
Last Update Date	:	03/17/2020

Similar Medicare Providers

1487790358 — LUCAS MESDAG DMD
Practice Location Address:

1807 COLUMBIA COVE LN S
ROCK ISLAND, WA
98850-9570

Practice Phone: 509-293-2015
Practice Fax:

1184982894 — PHYSICAL THERAPY ADVANTAGE, LLC
Practice Location Address:

52 DUCLAIR CT
LITTLE ROCK, AR
72223-9570

Practice Phone: 501-519-0144
Practice Fax:

1710981741 — DR. ANTHONY PAUL DIETRICH MD
Practice Location Address:

114 BERRY CREEK DR
FLAT ROCK, NC
28731-8531

Practice Phone: 828-697-0333
Practice Fax: 828-697-0375

1184617391 — MICHAEL DANIEL PARMER DO
Practice Location Address:

571 S ALLEN RD
FLAT ROCK, NC
28731-9447

Practice Phone: 828-692-6178
Practice Fax: 828-692-2365

1275528176 — HOSPICE OF HENDERSON COUNTY INC
Practice Location Address:

571 S ALLEN RD
FLAT ROCK, NC
28731-9447

Practice Phone: 828-692-6178
Practice Fax: 828-233-0350

1437148012 — LINDA A HOZDIC CRNP
Practice Location Address:

571 S ALLEN RD
FLAT ROCK, NC
28731-9447

Practice Phone: 828-692-6178
Practice Fax: 828-692-2365

Directions to “ RONALD WALTER HERTWIG JR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.