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Individual

MRS. LAURA ASHLEY RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
658 N. CHASE STREET, STE 201, ATHENS, GA 30607
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 700, ATHENS, GA 30607-1465
(706) 353-2990
(706) 353-2992

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
82910
GA
208600000X
Surgery Physician
R7305
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003231626M
GA
Enumeration date
11/12/2009
Last updated
07/19/2024
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