Individual
DR. STACY GARRETT-RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 328-2273
(410) 362-1748
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010
(410) 684-2031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0059648
MD
207Q00000X
Family Medicine Physician
Primary
D0059648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951200
—
MD
Enumeration date
07/02/2006
Last updated
02/10/2021
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