Individual
MICHELLE ANN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9404
(770) 427-5717
(770) 514-6744
Mailing address
207 OLDE OAK WAY, WOODSTOCK, GA 30188-6130
(770) 928-3332
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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