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KEVIN M RYAN PAAA

Nursing Yellow Pages

Lawrenceville, Georgia

Provider NPI: 1295763100

Provider Information:
 KEVIN M RYAN PAAA


Practice Location:
1000 MEDICAL CENTER BLVD  LAWRENCEVILLE, GA 30046 US
Tel: 770-277-3056  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA001975

Other Provider Identifiers:

IssuerNumberStateType
100001297AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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