Individual
RYAN CORBIN ZITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N SUMTER ST, MEDICAL OFFICE BUILDING 2, SUITE 200, SUMTER, SC 29150-4975
(803) 774-7621
(803) 774-1791
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367409
—
SC
Enumeration date
05/29/2008
Last updated
01/02/2019
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