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Individual
RYAN C PICKENS
Active
Individual
RYAN C PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218749
NC
2086S0120X
Pediatric Surgery Physician
Primary
95019
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218749
NORTH CAROLINA MEDICAL BOARD RESIDENCY TRAINING LICENSE FILE ID#
NC
Enumeration date
04/15/2016
Last updated
11/18/2025
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