Search › Georgia › 363AS0400X
Ronald Jennings, PA-C
NPI 1992896880 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7615 Mount Zion Blvd
Jonesboro, GA 30236 - Phone
- (770) 985-4257
- Fax
- (770) 985-4258
- Organisation at this address
- Southern Creseant Surgical Assistants
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 400 Health Park Blvd, St Augustine, FL
- 305 W Jackson St Ste 206, Carbondale, IL
- 600 E Dixie Ave, Leesburg, FL
- 1600 Sw Archer Rd, Gainesville, FL
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- GA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia