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NPI Code Detail

MEDICARE: DR. RYAN ROSS CROSSMAN PHARMD

MEDICARE: DR. RYAN ROSS CROSSMAN PHARMD
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
1183500000XPharmacistRPH023242GA

General Provider Information

NPI Number : 1619018298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN ROSS CROSSMAN PHARMD
Provider Business Mailing Address
First Line : 8400 VETERANS PKWY
Second Line : APT #1123
City : COLUMBUS
State : GA
Zip : 31909-2416
Country : US
Telephone Number : 706-573-5649
Fax Number :
Provider Business Practice Location Address
First Line : 8400 VETERANS PKWY
Second Line : APT #1123
City : COLUMBUS
State : GA
Zip : 31909-2416
Country : US
Telephone Number : 706-573-5649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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