Individual
DR. RYAN MICHAEL MATHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3545 HIGHWAY 17 UNIT 200, MURRELLS INLET, SC 29576-5113
(843) 353-3460
(843) 353-3461
Mailing address
1800 LOMBARD ST FL 1, PHILADELPHIA, PA 19146-1414
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
91310
SC
208100000X
Physical Medicine & Rehabilitation Physician
MD480729
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
07/17/2024
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