Individual
RYAN HOWELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4115 OLD BARK WAY, CUMMING, GA 30041-2019
(770) 630-6146
Mailing address
4115 OLD BARK WAY, CUMMING, GA 30041-2019
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/19/2020
Last updated
03/19/2020
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