Individual
RYAN C PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 CROSS PARK CT, GREENVILLE, SC 29605-4263
(864) 797-7400
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218749
NC
2086S0120X
Pediatric Surgery Physician
Primary
95019
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218749
NORTH CAROLINA MEDICAL BOARD RESIDENCY TRAINING LICENSE FILE ID#
NC
Enumeration date
04/15/2016
Last updated
11/18/2025
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