Individual
ADDISON BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3517
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2022-01588
NC
Other
Enumeration date
04/13/2018
Last updated
10/24/2025
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