Individual
CHARLES G RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6819 CRUMPLER BLVD STE 101, OLIVE BRANCH, MS 38654-1941
(662) 890-5559
(662) 893-8323
Mailing address
PO BOX 1000, DEPT # 978, MEMPHIS, TN 38148-0001
(662) 890-5559
(662) 893-8323
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16676
MS
207V00000X
Obstetrics & Gynecology Physician
24170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121942
—
MS
01
—
6007056
BCBS
TN
Enumeration date
05/23/2005
Last updated
10/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us