Individual
DR. THOMAS BRENT RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-6471
(912) 283-6471
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-6471
(912) 283-6471
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PODPOD001158
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108317A
—
GA
01
—
P00949916
RAILROAD MEDICARE
—
Enumeration date
06/25/2008
Last updated
02/29/2012
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