Individual
DR. RYAN FRANKLIN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 E MONTGOMERY CROSS RD, SAVANNAH, GA 31406-5056
(912) 352-2299
(912) 352-0012
Mailing address
PO BOX 13827, SAVANNAH, GA 31416-3827
(912) 352-2299
(912) 352-0012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
030958
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399473F
—
GA
01
—
1108070001
MEDICARE DME
GA
Enumeration date
11/15/2005
Last updated
02/08/2008
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