Healthcare Provider Details

I. General information

NPI: 1689788366
Provider Name (Legal Business Name): RYAN, JAMES, WILES, PATEL & OLSEN LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 W MCLEAN ST
SAINT PAULS NC
28384-1726
US

IV. Provider business mailing address

PO BOX 365
SAINT PAULS NC
28384-0365
US

V. Phone/Fax

Practice location:
  • Phone: 910-865-5188
  • Fax: 910-865-3015
Mailing address:
  • Phone: 910-865-5188
  • Fax: 910-865-3015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA C PATE
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 910-484-7070