Individual
MICHELLE ANN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5813
GA
363AS0400X
Surgical Physician Assistant
Primary
5813
GA
Other
Enumeration date
04/23/2010
Last updated
11/08/2010
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