Provider Demographics
NPI:1154760940
Name:RONEY, GARRETT SCOTT (M D)
Entity type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:SCOTT
Last Name:RONEY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S JACKSON ST
Mailing Address - Street 2:DEPTARTMENT OF MEDICINE
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1622
Mailing Address - Country:US
Mailing Address - Phone:502-852-5241
Mailing Address - Fax:502-852-6233
Practice Address - Street 1:550 S JACKSON ST
Practice Address - Street 2:DEPTARTMENT OF MEDICINE
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1622
Practice Address - Country:US
Practice Address - Phone:502-852-5241
Practice Address - Fax:502-852-6233
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program