NPI 1366304412

Ryan Derrick Mendez

Practitioner Other Specialist/Technologist Columbia, SC

Practice location

Address: 5804 Burt Rd APT a, Columbia, SC 29206-6317
Phone: (786) 379-9502

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence M532-724-95-413-0 (SC)

Other Specialist/Technologist, Other providers in South Carolina →

Registry record

NPI: 1366304412
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2025
Record last updated: 26 Nov 2025

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.