Individual
DR. JOHN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR FL 4, ABINGDON, VA 24211-7664
(276) 258-1000
(276) 258-4056
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237946
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010179254
—
VA
05
—
1526329
—
TN
05
—
1871562181
—
VA
01
—
P00413881
RR MEDICARE
VA
Enumeration date
03/17/2006
Last updated
11/30/2023
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