Tracy R Ray is a Sports Medicine in Watkinsville, Georgia. Tracy R Ray practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Tracy R Ray is 1609843481. The last update date is 2019-12-06.
Tracy R Ray's current location address is 1305 Jennings Mill Rd Ste 110, Watkinsville, Georgia. You can contact this provider via phone number 7066135880. The mailing address for Tracy R Ray is 1305 Jennings Mill Rd Ste 110, Watkinsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy R Ray |
|---|---|
| Address | 1305 Jennings Mill Rd Ste 110, Watkinsville, Georgia |
| Phone Number | 7066135880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1609843481 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 1305 Jennings Mill Rd Ste 110 |
|---|---|
| City | Watkinsville |
| State | Georgia (GA) |
| Post Code | 306777241 |
| Phone Number | 7066135880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 18564 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51559050 | AL | -- | |
| 51006180 | BCBS | ||
| 51521091 | AL | BCBS |
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What is the unique identification code assigned to Tracy R Ray by the Centers for Medicare & Medicaid Services?
The Tracy R Ray has been issued the NPI (National Provider Identifier) 1609843481. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy R Ray located?
The Tracy R Ray is located at 1305 Jennings Mill Rd Ste 110, Watkinsville, GA 306777241.
What is the Tracy R Ray's area of specialization and corresponding taxonomy classification?
The Tracy R Ray's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609843481 to Tracy R Ray?
The Centers for Medicare & Medicaid Services originally issued the 1609843481 to Tracy R Ray on 2006-03-01.
As of what date were the details pertaining to Tracy R Ray last refreshed?
The information related to the Tracy R Ray, including its address, specialty, and other relevant details, was last updated on 2019-12-06.