Individual
DR. RYAN AUSTIN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6 DOCTORS CIR STE 5, SUPPLY, NC 28462-6358
(910) 721-4370
(910) 721-4379
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-4370
(910) 721-4379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023-02667
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
0102205681
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2023-02667
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
92602
GA
Other
Enumeration date
04/16/2013
Last updated
05/17/2024
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