Individual
DR. RYAN WAIDE HANKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1705 BOULEVARD SQ STE B, WAYCROSS, GA 31501-8032
(912) 284-9200
(912) 284-9887
Mailing address
1705 BOULEVARD SQ STE B, WAYCROSS, GA 31501-8032
(912) 284-9200
(912) 284-9887
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004150
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD004150
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD004150
GEORGIA LICENSE NUMBER
GA
Enumeration date
09/25/2018
Last updated
09/25/2018
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