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Individual
DR. MARY ELIZABETH RAY
Active
Individual
DR. MARY ELIZABETH RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102205452
VA
207Q00000X
Family Medicine Physician
02005514A
IN
207Q00000X
Family Medicine Physician
2018-02504
NC
207Q00000X
Family Medicine Physician
81617
SC
207Q00000X
Family Medicine Physician
DO034780
DC
207Q00000X
Family Medicine Physician
Primary
OS 10534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001090100
—
FL
01
—
P00756545
MEDICARE RAILROAD
FL
Enumeration date
07/28/2005
Last updated
02/12/2020
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