Provider Demographics
NPI:1538195540
Name:DEMAS, RONALD CHARLES (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:CHARLES
Last Name:DEMAS
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 1:305 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4506
Mailing Address - Country:US
Mailing Address - Phone:910-343-3349
Mailing Address - Fax:
Practice Address - Street 1:608 DAWSON STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-667-0470
Practice Address - Fax:910-667-0475
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15227207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine