DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RYAN BLUM

MEDICARE: RYAN BLUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1211D00000XPodiatric Assistant

General Provider Information

NPI Number : 1538006838
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN BLUM
Provider Business Mailing Address
First Line : 200 MAEVE CT
Second Line :
City : BALTIMORE
State : MD
Zip : 21208-1422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1670 CLAIRMONT RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-4004
Country : US
Telephone Number : 414-321-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

Similar Medicare Providers

1396973665 — MS. WANDA DENISE NELSON
Practice Location Address:
3275 CREEKWAY LN
DECATUR, GA
30034-4909
Practice Phone: 404-243-3865
Practice Fax: 404-243-4368
1205568151 — DASHAWNA CANDACE ANDERSON DSW, LCSW
Practice Location Address:
1670 CLAIRMONT RD
DECATUR, GA
30033-4004
Practice Phone: 494-321-6111
Practice Fax:
1144237538 — JOSEPH E HARDISON M.D.
Practice Location Address:
1670 CLAIRMONT RD
DECATUR, GA
30033-4004
Practice Phone: 404-321-6111
Practice Fax:
1669875423 — MS. TITILAYO ERIKA FADAHUNSI LIZARDO LCSW
Practice Location Address:
1670 CLAIRMONT RD
DECATUR, GA
30033-4004
Practice Phone: 301-275-0096
Practice Fax:
1356342042 — DR. KETAYOUN DAVARI PHARM.D.
Practice Location Address:
1670 CLAIRMONT RD
DECATUR, GA
30033-4004
Practice Phone: 404-321-6111
Practice Fax: 404-417-2936
1457352197 — MS. SUSAN DAILEY MCCONNELL N.P.
Practice Location Address:
1670 CLAIRMONT RD
DECATUR, GA
30033-4004
Practice Phone: 404-321-6111
Practice Fax:

Directions to “ RYAN BLUM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.