Individual
DR. CHARLES ADRIAN RAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-6701
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-9506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05148
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112345
—
MS
Enumeration date
11/09/2005
Last updated
11/03/2014
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