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Individual

RYAN PATRICK MCAVOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
126 PRITCHARD RD, CLAYTON, NC 27527
(919) 235-1036
Mailing address
PO BOX 803854, KANSAS CITY, MO 64180-3854
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14985
NC
363AM0700X
Medical Physician Assistant
Primary
0010-14985
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720804909
NC
Enumeration date
12/03/2024
Last updated
12/11/2025
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