Individual
MS. JAMIE MARTIN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
507 S 4TH ST, GADSDEN, AL 35901
(256) 547-7417
(256) 547-7414
Mailing address
507 S 4TH ST, GADSDEN, AL 35901
(256) 547-7417
(256) 547-7414
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA350
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051518462
—
AL
01
—
PA350
STATE MED LIC BD
AL
Enumeration date
07/14/2006
Last updated
10/30/2013
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