Individual
JEFFERSON RAY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
261 POPLAR BRANCH RD, POPLAR BRANCH, NC 27965-9745
(252) 453-2700
Mailing address
1347 WATERLILY RD, COINJOCK, NC 27923-9740
(252) 619-4399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8249
NC
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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