Individual
RYAN GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92924
GA
207L00000X
Anesthesiology Physician
ME118965
FL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012559600
—
FL
Enumeration date
04/05/2010
Last updated
01/31/2024
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