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Individual

DR. MAGGIE L RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12690 CATAWBA DR, WOODBRIDGE, VA 22192-6414
(540) 226-7321
Mailing address
851 LEONARD FULGHUM DR 201, MOUNT PLEASANT, SC 29464-3793
(843) 884-5133
(843) 849-3343

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
010238273
VA
207V00000X
Obstetrics & Gynecology Physician
200300186
NC
207V00000X
Obstetrics & Gynecology Physician
34095
SC
207V00000X
Obstetrics & Gynecology Physician
MD00048040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340955
SC
01
AA77613922
MEDICARE PTAN
SC
Enumeration date
10/22/2005
Last updated
07/23/2015
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