Provider Demographics
NPI:1376048363
Name:RYSER, CHRISTIAN D (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:D
Last Name:RYSER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HIRAM DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-1844
Mailing Address - Country:US
Mailing Address - Phone:470-267-1740
Mailing Address - Fax:470-986-7072
Practice Address - Street 1:51 HIRAM DR BLDG B
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-1844
Practice Address - Country:US
Practice Address - Phone:470-267-1740
Practice Address - Fax:470-986-7072
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA949362084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program