Individual
RYAN BLAINE CALDWELL
Active
Individual
RYAN BLAINE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-01380
NC
207R00000X
Internal Medicine Physician
29018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730210089
—
NC
05
—
5912204
—
NC
05
—
N0138A
—
SC
Enumeration date
03/08/2007
Last updated
10/26/2020
Update your record
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