Provider Demographics
NPI:1639829104
Name:GWINN, RONALD WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:WILLIAM
Last Name:GWINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RONALD
Other - Middle Name:L
Other - Last Name:BEALE
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8025 BURNETT WOMACK BUILDING CAMPUS BOX #7172 UNC-CH
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7170
Mailing Address - Country:US
Mailing Address - Phone:919-966-0134
Mailing Address - Fax:919-966-6025
Practice Address - Street 1:100 EASTOWNE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2286
Practice Address - Country:US
Practice Address - Phone:984-974-2950
Practice Address - Fax:984-974-2924
Is Sole Proprietor?:No
Enumeration Date:2022-03-26
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025-02156207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine