Derris Wayne Ray in Amite - General Practice
Derris Wayne Ray - NPI 1780679746
Derris Wayne Ray is a General Practice in Amite, Louisiana. Derris Wayne Ray practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derris Wayne Ray is 1780679746. The last update date is 2019-07-24.
Derris Wayne Ray's current location address is 309 Walnut St, Amite, Louisiana. You can contact this provider via phone number 9857485158 and fax number 9857489942. The mailing address for Derris Wayne Ray is 309 Walnut St, Amite, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derris Wayne Ray |
|---|---|
| Address | 309 Walnut St, Amite, Louisiana |
| Phone Number | 9857485158 |
| Fax Number | 9857489942 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780679746 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2019-07-24 |
Provider Mailing Address Detail
| Address | 309 Walnut St |
|---|---|
| City | Amite |
| State | Louisiana (LA) |
| Post Code | 704222055 |
| Phone Number | 9857485158 |
| Fax Number | 9857489942 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 14423 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306533 | LA | -- |
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What is the unique identification code assigned to Derris Wayne Ray by the Centers for Medicare & Medicaid Services?
The Derris Wayne Ray has been issued the NPI (National Provider Identifier) 1780679746. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Derris Wayne Ray located?
The Derris Wayne Ray is located at 309 Walnut St, Amite, LA 704222055.
What is the Derris Wayne Ray's area of specialization and corresponding taxonomy classification?
The Derris Wayne Ray's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
When did the Derris Wayne Ray receive its 1780679746?
The Derris Wayne Ray was issued its 1780679746 on 2005-09-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Derris Wayne Ray last refreshed?
The information related to the Derris Wayne Ray, including its address, specialty, and other relevant details, was last updated on 2019-07-24.