Individual
JONATHAN RYAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3135 SPRINGBANK LN STE 140, CHARLOTTE, NC 28226-3363
(704) 702-6555
(704) 270-6221
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
001004758
NC
363A00000X
Physician Assistant
Primary
0010-04758
NC
Other
Enumeration date
02/04/2014
Last updated
09/11/2024
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