NPI 1336646405

Ryan James Walczak, MD

Practitioner Otolaryngology Physician West Columbia, SC

Practice location

Address: 146 E Hospital Dr, STE 200, West Columbia, SC 29169-2306
Phone: (803) 936-7530
Fax: (803) 936-7532
Mailing address: PO Box 6069, West Columbia, SC 29171-6069

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 90440 (SC)

Other Otolaryngology providers in South Carolina →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in South Carolina →

Registry record

NPI: 1336646405
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2018
Record last updated: 16 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.