Individual
DANA VICTORIA RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 HIDDEN FOREST CT SE, ATLANTA, GA 30316-4215
(678) 914-4858
Mailing address
2801 HIDDEN FOREST CT SE, ATLANTA, GA 30316-4215
(678) 914-4858
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CN0028867094
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
GA
05
—
2
—
GA
Enumeration date
11/01/2017
Last updated
11/01/2017
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