Individual
RITA MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
179584
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
34090
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025112001
UNIVERA
—
01
—
000912388002
BC/BS
—
05
—
0018206830001
—
PA
05
—
01258039
—
NY
01
—
040426002309
FIDELIS
—
01
—
1290703
IHA
—
Enumeration date
03/14/2006
Last updated
10/04/2011
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