Doctor Name: | MR. PAUL I RAY |
NPI Number: | 1578500609 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT-ECS |
License Number: | PT003630 |
Business Practice Address: | 247 S Main St Reidsville, GA - 304534605 |
Business Phone Number: | 9125571000 |
Business Fax Number: | 9126443369 |
Mailing Address: | 210 E. Derenne Ave, SAVANNAH |
State: | GA |
Postal Code: | 31405 |
Phone Number: | 9126445300 |
Fax Number: | 9126443369 |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT003630 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |