Individual
MARY ASHLEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1715 BLANDING ST, COLUMBIA, SC 29201-3441
(803) 799-3926
Mailing address
1715 BLANDING ST, COLUMBIA, SC 29201-3441
(803) 799-3926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60318442
WA
Other
Enumeration date
03/09/2009
Last updated
05/13/2021
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