Gary, Michael Ryan

Gary, Michael Ryan is an individual health care provider with primary practice located at 970 Lakeland Dr Ste 61 , Jackson MS 39216-4682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gary, Michael Ryan can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Ste 61 Jackson MS 39216-4682
Phone: (601) 982-7850
Fax: (601) 366-8507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T-3339 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27091 Mississippi

Profile Details

NPI number 1851824270
LBN Legal business name Gary, Michael Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Nov 9th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851824270 NPPES
Mississippi MEDICAID 08653039

Popular Providers