Individual
DR. RYAN JAMES TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D66269
MD
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
40840
SC
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
D66269
MD
207RC0000X
Cardiovascular Disease Physician
D66269
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017335500
—
MD
Enumeration date
01/26/2007
Last updated
07/21/2022
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