Walter Shannon Ray in Douglas - Physician Assistant
Walter Shannon Ray - NPI 1710081989
Walter Shannon Ray is a Physician Assistant in Douglas, Georgia. Walter Shannon Ray practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Walter Shannon Ray is 1710081989. The last update date is 2010-03-23.
Walter Shannon Ray's current location address is 100 Doctors Dr, Douglas, Georgia. You can contact this provider via phone number 9123839789 and fax number 9123839435. The mailing address for Walter Shannon Ray is 100 Doctors Dr, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Shannon Ray |
|---|---|
| Address | 100 Doctors Dr, Douglas, Georgia |
| Phone Number | 9123839789 |
| Fax Number | 9123839435 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1710081989 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2010-03-23 |
Provider Mailing Address Detail
| Address | 100 Doctors Dr |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332210 |
| Phone Number | 9123839789 |
| Fax Number | 9123839435 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3211 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100002000A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Walter Shannon Ray by the Centers for Medicare & Medicaid Services?
The Walter Shannon Ray has been issued the NPI (National Provider Identifier) 1710081989. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Walter Shannon Ray located?
The Walter Shannon Ray is located at 100 Doctors Dr, Douglas, GA 315332210.
What is Walter Shannon Ray's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walter Shannon Ray's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710081989 to Walter Shannon Ray?
The Walter Shannon Ray received its 1710081989 assignment from the Centers for Medicare & Medicaid Services on 2006-09-11.
As of what date was the information pertaining to Walter Shannon Ray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Walter Shannon Ray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-23.