Miss. Alexandra Gray Ryan
Miss. Alexandra Gray Ryan is a Physician Assistant in Hollywood, South Carolina. Qualified in 2025, 1 year ago. Registered with an NPI since 2024.
- Years since qualifying
- 1
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
4710 Hard Scuffle LnHollywood, SC 29449-5781
Phone: (854) 500-6432
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1083479620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 13, 2024 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |