Individual
DR. PATRICK KEITH RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4600 OLEANDER DR STE C, AGAPE PHYSICIANS CARE, MYRTLE BEACH, SC 29577-5897
(843) 448-2228
(855) 868-8450
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL0148
MEDICAID NUMBER
SC
Enumeration date
12/28/2007
Last updated
11/08/2022
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