Individual
JOSE ARI G LARAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6570 STAGE RD STE 100, BARTLETT, TN 38134-2839
(901) 949-2316
(901) 746-8926
Mailing address
PO BOX 931263, ATLANTA, GA 31193-1263
(901) 949-2316
(901) 377-6806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000029040
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3873385
—
TN
Enumeration date
05/12/2006
Last updated
09/08/2023
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