Individual
ABIGAIL LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008015353
MO
208000000X
Pediatrics Physician
2011012605
MO
208000000X
Pediatrics Physician
Primary
48861
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3379411
—
TN
Enumeration date
07/09/2008
Last updated
11/19/2013
Update your record
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