Individual
RYAN KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912
(706) 721-5437
Mailing address
4200 PINE FOREST ROAD APT. 4231, AUGUSTA, GA 30909
(717) 525-2377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15170
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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