Individual
MR. RYAN LEE MESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703847178B
—
GA
Enumeration date
01/16/2007
Last updated
04/22/2020
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