Individual
MR. RYAN L BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227198066A
—
GA
Enumeration date
04/25/2006
Last updated
05/09/2017
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