Individual
MR. RYAN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3225 CUMBERLAND BLVD SE STE 900, ATLANTA, GA 30339-5971
(404) 351-2220
(404) 591-2939
Mailing address
3225 CUMBERLAND BLVD SE STE 900, ATLANTA, GA 30339-5971
(404) 351-2220
(404) 591-2939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
99754
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8819954101
—
AR
Enumeration date
03/26/2020
Last updated
07/11/2024
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