Walter Shannon Ray, PAC

NPI #1710081989 in Douglas, Georgia

Provider Information

NPI Number
1710081989
Entity Type
Individual
Name
Walter Shannon Ray, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Sep 11, 2006
Last Updated
Mar 23, 2010

Practice Location

Address
100 DOCTORS DR
Address 2
STE 103
State
Georgia
ZIP Code
31533-2210
Phone
(912) 383-9789

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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