Individual
DANA RAPHAEL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE B460, GREENVILLE, SC 29615-3593
(864) 454-2226
(864) 454-2223
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21667
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216671
—
SC
01
—
P01038858
RR MEDICARE
SC
Enumeration date
06/07/2006
Last updated
07/26/2013
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