Individual
DR. THOMAS DONALD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 COLLINS DR, SUITE B, CARTERSVILLE, GA 30120-2486
(770) 607-0795
(770) 607-1339
Mailing address
20 COLLINS DR, SUITE B, CARTERSVILLE, GA 30120-2486
(770) 607-0795
(770) 607-1339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002618
BCBSGA
GA
01
—
10032515
AMERIGROUP
GA
01
—
12-01508
UNITED HEALTH CARE
GA
01
—
303401
WELLCARE OF GA
GA
01
—
5925435
CIGNA
GA
Enumeration date
08/30/2006
Last updated
07/08/2007
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