Organization
CHARLES E. RAY, M.D. APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E RAY, M.D. APMC MD (PHYSICIAN)
(337) 824-9012
Entity
Organization
Contact information
Practice address
1910 JOHNSON ST, JENNINGS, LA 70546-3628
(337) 824-9012
(337) 824-9018
Mailing address
PO BOX 1427, JENNINGS, LA 70546-1427
(337) 824-9012
(337) 824-9018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346110
—
LA
01
—
4388804890
BLUE CROSS OF LA
LA
Enumeration date
04/20/2010
Last updated
04/20/2010
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