Mack, Ryan

Mack, Ryan is an individual health care provider with primary practice located at 965 Oakland Rd 3B, Lawrenceville GA 30044-3758. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mack, Ryan can be contacted via phone (678) 376-3800.

Contact Information

Primary practice address
965 Oakland Rd 3B Lawrenceville GA 30044-3758
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467997999
LBN Legal business name Mack, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2016
Last updated Dec 19th, 2016 - about 10 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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