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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RONALD A MACBETH JR, MD
800 AUSTIN DR
DEMOREST, GA30535-4508
 Phone: 706-839-4096
 Fax: 706-839-4097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 20 Physician/Orthopedic Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RONALD A MACBETH JR · (Male)

NPI Number 1053393595
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 04/08/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
GA License # 049310
GA License # GA049310
GA Medicaid 000894187G
FL Medicare PIN 15108Y
GA Medicare UPIN 202I200657
GA Medicare UPIN E54066
Hospital affiliation(s)
  • HABERSHAM COUNTY MEDICAL CTR - (Acute Care)
    541 HISTORIC HIGHWAY 441-NORTH
    DEMOREST, GA 30535
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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