Provider Demographics
NPI:1083153423
Name:GUILLORY, RYAN CHRISTIAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHRISTIAN
Last Name:GUILLORY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1550 SHERIDAN DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1381
Mailing Address - Country:US
Mailing Address - Phone:740-687-8397
Mailing Address - Fax:740-654-4103
Practice Address - Street 1:55 HOSPITAL DR # 1
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2302
Practice Address - Country:US
Practice Address - Phone:740-593-5551
Practice Address - Fax:614-566-0401
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH34.014146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine