Provider Demographics
NPI:1023007457
Name:CANTWELL, RYAN V (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:V
Last Name:CANTWELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1161
Mailing Address - Country:US
Mailing Address - Phone:770-427-2457
Mailing Address - Fax:770-427-2706
Practice Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1161
Practice Address - Country:US
Practice Address - Phone:770-427-2457
Practice Address - Fax:770-427-2706
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2014-02-19
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Provider Licenses
StateLicense IDTaxonomies
GA048762207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine