Individual
RAY THOMAS TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
97 DEEP SOUTH FARM RD STE 2, BLAIRSVILLE, GA 30512-2298
(770) 345-6600
(770) 345-6611
Mailing address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159538B
—
GA
05
—
Q109512
—
TN
Enumeration date
10/13/2011
Last updated
05/24/2026
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