Ronnie Coles
Individual provider Active NPI Driver · Gretna, VA
NPI 1144746579 · NPPES record last updated Aug 17, 2017
Key facts
- NPI
- 1144746579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 519 Farmers Mountain Rd
Gretna, VA 24557-2641 - Phone
- (434) 548-6445
- NPI assigned
- Aug 17, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
519 Farmers Mountain Rd
Gretna, VA 24557-2641
Mailing address
PO Box 503
Gretna, VA 24557-0503
Phone (434) 548-6445
Other providers in Gretna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.