Individual
BEVERLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 PEACHTREE ST, ANESTHESIOLOGY, ATLANTA, GA 30308-2225
(404) 778-4852
Mailing address
1670 RIVER OAK DR, ROSWELL, GA 30075-2572
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
R11533
GA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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