Ryan, Mary Katherine

Ryan, Mary Katherine is an individual health care provider with primary practice located at 775 Poplar Rd Ste 310 , Newnan GA 30265-8303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ryan, Mary Katherine can be contacted via phone (770) 251-2590.

Contact Information

Primary practice address
775 Poplar Rd Ste 310 Newnan GA 30265-8303
Phone: (770) 251-2590
Fax: (404) 477-1162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 272967 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.15224-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN248115 Georgia

Profile Details

NPI number 1518395854
LBN Legal business name Ryan, Mary Katherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2013
Last updated Apr 14th, 2020 - about 4 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 1518395854 NPPES
North Carolina Other 5007170 NCBON
North Carolina Other COA.15224-NP NCBON

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