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Individual

MR. TIMOTHY DARRYL RAY

Active
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Individual

MR. TIMOTHY DARRYL RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5858
SC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—

Other

Enumeration date
01/30/2025
Last updated
07/02/2025
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