Individual
MR. RYAN P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
350 S MILLEDGE AVE, ATHENS, GA 30605-1048
(706) 357-5200
Mailing address
356 BOYCE GUIN RD, TIGNALL, GA 30668-3638
(706) 614-4878
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001126
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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