Individual
CHARLES JACKSON WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-6087
Mailing address
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203-1534
(615) 342-5900
(615) 342-6087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37637
TN
207RP1001X
Pulmonary Disease Physician
Primary
37637
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100021660
—
KY
Enumeration date
06/29/2006
Last updated
02/01/2022
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