Individual
MR. RYAN CHARLES ROMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
814 RADFORD BLVD STE 20328, ALBANY, GA 31704-1130
(229) 639-5980
Mailing address
929 MANDARIN TRL, JACKSONVILLE, NC 28540-9643
(916) 778-8770
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
09/08/2020
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