Individual
RYAN K. CRISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1267 HIGHWAY 54 W, SUITE 2200, FAYETTEVILLE, GA 30214-2110
(770) 716-0051
(770) 716-0087
Mailing address
275 COLLIER ROAD, NW, SUITE 500, ATLANTA, GA 30309-1711
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036124699
IL
207R00000X
Internal Medicine Physician
A104462
CA
207RC0000X
Cardiovascular Disease Physician
069788
GA
207RI0011X
Interventional Cardiology Physician
Primary
069788
GA
Other
Enumeration date
06/20/2008
Last updated
05/18/2023
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