Wilson, Ryan Edward
Wilson, Ryan Edward is an individual health care provider with primary practice located at 4500 Hospital Blvd Ste 320 , Roswell GA 30076-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wilson, Ryan Edward can be contacted via phone (770) 410-4520.Contact Information
Primary practice address
4500 Hospital Blvd Ste 320
Roswell GA 30076-0001
Phone: (770) 410-4520
Fax: (770) 410-4525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TRN13691 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME112912 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 45950 | Kentucky |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 51981 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 93581 | Georgia |
Profile Details
| NPI number | 1538394630 |
|---|---|
| LBN Legal business name | Wilson, Ryan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2009 |
| Last updated | Feb 20th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538394630 | NPPES |
| Florida | MEDICAID | 005571300 | |
| Florida | MEDICAID | 519816 | |
| Florida | MEDICAID | 003124179A | |
| Florida | Other | 14K5A |
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