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Contact Information

RYAN M LANDIS, MD
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN37604-6972
 Phone: 423-431-2477
 Fax: 423-431-2478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RYAN M LANDIS · (Male)

NPI Number 1144665845
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2013
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 60114
  • TN License # 61132
Hospital affiliation(s)
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
  • TAKOMA REGIONAL HOSPITAL - (Acute Care)
    401 TAKOMA AVE
    GREENEVILLE, TN 37743
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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