Walters, Ryan Christopher
Walters, Ryan Christopher is an individual health care provider with primary practice located at 48 Centennial Way , Greenville SC 29605-4662. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Walters, Ryan Christopher can be contacted via phone (864) 455-1600.Contact Information
Primary practice address
48 Centennial Way
Greenville SC 29605-4662
Phone: (864) 455-1600
Fax: (864) 522-8005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MPA.3134 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MPA.3134 | South Carolina |
Profile Details
| NPI number | 1457824096 |
|---|---|
| LBN Legal business name | Walters, Ryan Christopher |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2019 |
| Last updated | May 6th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457824096 | NPPES |
| South Carolina | MEDICAID | 3893PA |
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