Provider Demographics
NPI:1871739698
Name:MCLAUGHLIN, RONALD JEROME
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JEROME
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:SC
Mailing Address - Zip Code:29525
Mailing Address - Country:US
Mailing Address - Phone:843-862-6775
Mailing Address - Fax:843-479-5645
Practice Address - Street 1:201A COLLEGE STREET
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:SC
Practice Address - Zip Code:29525
Practice Address - Country:US
Practice Address - Phone:843-862-6775
Practice Address - Fax:843-479-5645
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker