DR. Derris Wayne Ray, M.D.

NPI #1780679746 in Amite, Louisiana

Provider Information

NPI Number: 1780679746
Entity Type: Individual
Name: DR. Derris Wayne Ray, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Sep 15, 2005
Last Updated: Jul 24, 2019

Practice Location

Address: 309 WALNUT ST
Address 2: STE D
City: Amite
State: Louisiana
ZIP Code: 70422-2055
Phone: (985) 748-5158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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