Derris W Ray

NPI #1346871746 in Amite, Louisiana

Provider Information

NPI Number: 1346871746
Entity Type: Organization
Organization Name: Derris W Ray
Primary Specialty: General Practice
Enumeration Date: Feb 4, 2020
Last Updated: Feb 4, 2020

Practice Location

Address: 309 WALNUT ST STE D
City: Amite
State: Louisiana
ZIP Code: 70422-2039
Phone: (985) 748-5158

Authorized Official

Name: KIRSTEN T RAY
Title: OFFICE MANAGER
Phone: (985) 748-5158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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DR. Derris Wayne Ray, M.D.	General Practice	Amite	AI Deep Dive
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