Individual
DR. WALTER HARRILL WRAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103
(704) 323-2000
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2013-00048
NC
207XS0106X
Orthopaedic Hand Surgery Physician
2013-00048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013-00048
NC LICENSE
NC
Enumeration date
04/13/2008
Last updated
07/22/2024
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