Provider Demographics
NPI:1528065406
Name:LOCKE, RONALD NEWTON (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:NEWTON
Last Name:LOCKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 N DIXON ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-1931
Mailing Address - Country:US
Mailing Address - Phone:828-781-0803
Mailing Address - Fax:912-632-8682
Practice Address - Street 1:127 BEN CASEY DR STE 106
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6600
Practice Address - Country:US
Practice Address - Phone:803-547-6800
Practice Address - Fax:803-547-6801
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501318208600000X
SCMD127512086S0129X
GA85922208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC2338OtherMEDCOST
NC5768353OtherCIGNA
NC52429OtherBCBS NC
NC8952429Medicaid
D17722Medicare UPIN
NCC2338OtherMEDCOST