Individual
MR. RYAN MARTIN TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6799 GREAT OAKS RD STE 100, MEMPHIS, TN 38138-2571
(901) 751-0405
Mailing address
3838 CENTER HILL CV, OLIVE BRANCH, MS 38654-8713
(901) 605-6859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
02/02/2021
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