Individual
RYAN BLAINE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8800 NORTH TRYON STREET, CHARLOTTE, NC 28262-3300
(704) 863-6241
(704) 355-5948
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 863-6241
(704) 355-5948
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
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