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Contact Information

TERRI RYBAK, CST/CSFA
3493 LOWER BURRIS RD
CANTON, GA30114-4755
 Phone: 770-331-4217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for TERRI RYBAK · (Female)

NPI Number 1740599182
Status Active
Credentials CST/CSFA
Entity Individual
Enumeration date 10/04/2010
Last updated 08/08/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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