Individual
GEOFFREY LANCE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 US HIGHWAY 19, HOLIDAY, FL 34691-2635
(727) 942-7070
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 497-8312
(843) 497-8305
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
82190
SC
2085R0001X
Radiation Oncology Physician
ME124289
FL
Other
Enumeration date
06/26/2009
Last updated
09/06/2022
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