Individual
RYAN J. WHITTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3225 CUMBERLAND BLVD SE STE 800, ATLANTA, GA 30339-5970
(404) 351-2220
(404) 352-5392
Mailing address
3225 CUMBERLAND BLVD SE STE 900, ATLANTA, GA 30339-5971
(404) 351-2220
(404) 352-5392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
83633
GA
207W00000X
Ophthalmology Physician
MD60627739
WA
207WX0107X
Retina Specialist (Ophthalmology) Physician
83633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057324
—
WA
Enumeration date
08/19/2008
Last updated
07/08/2019
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