Fitzgerald, Ryan Hudson

Fitzgerald, Ryan Hudson is an individual health care provider with primary practice located at 132 Riverstone Ter Ste 101 , Canton GA 30114. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Fitzgerald, Ryan Hudson can be contacted via phone (678) 880-0036.

Contact Information

Primary practice address
132 Riverstone Ter Ste 101 Canton GA 30114
Phone: (678) 880-0036
Fax: (404) 481-4427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 626 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301013 Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001364 Georgia

Profile Details

NPI number 1760649602
LBN Legal business name Fitzgerald, Ryan Hudson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Jan 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760649602 NPPES
South Carolina MEDICAID PD6265

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