Smith, Ryan Wesley

Smith, Ryan Wesley is an sole proprietor health care provider with primary practice located at 101 Surgeons Dr , Myrtle Beach SC 29579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Smith, Ryan Wesley can be contacted via phone (843) 504-7194.

Contact Information

Primary practice address
101 Surgeons Dr Myrtle Beach SC 29579
Phone: (843) 504-7194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47099 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29753 South Carolina

Profile Details

NPI number 1861479974
LBN Legal business name Smith, Ryan Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Oct 6th, 2019 - about 5 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 1861479974 NPPES
Minnesota MEDICAID 777643800

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