Individual
DR. RYAN CARLTON MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
840 MONTCLAIR RD STE 317, BIRMINGHAM, AL 35213-1944
(205) 592-5745
Mailing address
4100 RIVER VIEW CV, VESTAVIA, AL 35243-4704
(205) 807-5665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO.1145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121100
—
AL
Enumeration date
03/02/2007
Last updated
04/05/2017
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