Individual
RYAN P CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 MEDICAL PARK DR., AUSTELL, GA 30106
(770) 948-6041
Mailing address
3820 MEDICAL PARK DR., AUSTELL, GA 30106
(770) 948-6041
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
065941
GA
207RP1001X
Pulmonary Disease Physician
65941
GA
Other
Enumeration date
03/06/2007
Last updated
11/12/2015
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