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Individual

MR. THOMAS LEE RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
111 COLONIAL WAY, JESUP, GA 31545-0130
(912) 588-9110
Mailing address
111 COLONIAL WAY, JESUP, GA 31545-0130
(912) 588-9110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002971
GA

Other

Enumeration date
07/22/2005
Last updated
06/16/2021
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