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Individual

THOMAS J RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P., B.O.C.O

Contact information

Practice address
400 MEADOWMONT VILLAGE CIR, SUITE 425, CHAPEL HILL, NC 27517-7505
(919) 929-5550
(919) 929-5572
Mailing address
400 MEADOWMONT VILLAGE CIR, SUITE 425, CHAPEL HILL, NC 27517-7505
(919) 929-5550
(919) 929-5572

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
C50369
NC
174400000X
Specialist
Primary
CP003475
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795243
NC
Enumeration date
02/07/2007
Last updated
10/28/2011
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