Organization
RYAN FANN PROSTHETICS, LLC
Active
Other names
Reform Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RYAN FANN (MANAGING OWNER)
(615) 579-8407
Entity
Organization
Contact information
Practice address
918 E 72ND ST, SAVANNAH, GA 31405-4917
(912) 344-9599
(912) 335-3435
Mailing address
1609 E 50TH ST, SAVANNAH, GA 31404-4211
(615) 579-8407
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
08/23/2023
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