Individual
CHRISTOPHER RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 INTERNATIONAL DR APT 5, ATHENS, GA 30605-3693
(706) 308-5407
Mailing address
110 INTERNATIONAL DR APT 5, ATHENS, GA 30605-3693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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