Doctor Name: | DR. GEORGE W WRAY |
NPI Number: | 1093772238 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 046285 |
Business Practice Address: | 1218 W Paces Ferry Rd Nw Suite 200 Atlanta, GA - 303272308 |
Business Phone Number: | 4045257409 |
Business Fax Number: | 4045220608 |
Mailing Address: | 1218 W Paces Ferry Rd Nw, Suite 200 ATLANTA |
State: | GA |
Postal Code: | 303272308 |
Phone Number: | 4045257409 |
Fax Number: | 4045220608 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 046285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |