Individual
RYAN MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
PO BOX 1078, CONYERS, GA 30012-1078
(770) 388-7745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7269
GA
367H00000X
Anesthesiologist Assistant
Primary
7269
GA
Other
Enumeration date
08/08/2014
Last updated
04/18/2024
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