Individual
RYAN SCOTT BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
4375 LEXINGTON RD, ATHENS, GA 30605-2525
(706) 355-3142
Mailing address
4375 LEXINGTON RD, ATHENS, GA 30605-2525
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002388
GA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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