Individual
DR. LARRY GRAYDON RAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 N DECATUR RD, SUITE 300, DECATUR, GA 30033-5949
(404) 296-3111
(678) 686-9522
Mailing address
2801 N DECATUR RD, SUITE 300, DECATUR, GA 30033-5949
(404) 296-3111
(678) 686-9522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39446
STATE MEDICAL LICENSE #
GA
Enumeration date
06/09/2006
Last updated
05/24/2012
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