Individual
RYAN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-3871
Mailing address
370 FRONT ST UNIT 125, NORTH AUGUSTA, SC 29841-4362
(704) 526-8834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17944
GA
390200000X
Student in an Organized Health Care Education/Training Program
17944
GA
Other
Enumeration date
06/21/2025
Last updated
06/23/2025
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