Individual
DR. CAROL WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2880 KEAGY RD, SALEM, VA 24153-7458
(540) 444-4343
(540) 444-4345
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101042617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010317801
—
VA
01
—
P00304574
MEDICARE RAILROAD
VA
Enumeration date
01/30/2006
Last updated
06/23/2010
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