Provider Demographics
NPI:1871151753
Name:SATTAR, RYAN (DNP)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:SATTAR
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PLAZA CIR STE N
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-7556
Mailing Address - Country:US
Mailing Address - Phone:706-503-5030
Mailing Address - Fax:
Practice Address - Street 1:700 PLAZA CIR STE N
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-7556
Practice Address - Country:US
Practice Address - Phone:864-547-2160
Practice Address - Fax:864-547-2159
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC216987163WC0200X
SC22986363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE