Individual
DR. DONALD RAY RAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W RAILROAD ST, LONG BEACH, MS 39560-4517
(228) 864-0622
(228) 864-7958
Mailing address
200 W RAILROAD ST, LONG BEACH, MS 39560-4517
(228) 864-0622
(228) 864-7958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03987
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011085
—
MS
Enumeration date
08/13/2006
Last updated
07/08/2007
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