Individual
RYAN T WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 534-2020
(770) 534-8025
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
081697
GA
207RI0011X
Interventional Cardiology Physician
81697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0569244
—
IA
05
—
200283580A
—
KS
05
—
200283580B
—
KS
05
—
209012400
—
MO
05
—
209012418
—
MO
05
—
47084496100
—
NE
05
—
7707950
—
SD
Enumeration date
08/24/2006
Last updated
11/09/2021
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