Individual
LARRY DALE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 NC 65, REIDSVILLE, NC 27320
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9800368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891058X
—
NC
Enumeration date
12/04/2006
Last updated
05/08/2017
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