Provider Demographics
NPI:1194107425
Name:GOLDFINE, RYAN (DPM)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:GOLDFINE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 HIGHWAY 54 W STE 205
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-4794
Mailing Address - Country:US
Mailing Address - Phone:770-716-8732
Mailing Address - Fax:
Practice Address - Street 1:3451 ERNEST W BARRETT PKWY NW STE 170
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-5037
Practice Address - Country:US
Practice Address - Phone:785-933-1276
Practice Address - Fax:678-274-6348
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001381213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery