Individual
TROY DOUGLAS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 489-6353
(540) 484-8552
Mailing address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 489-6353
(540) 484-8552
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165499
VA
367500000X
Certified Registered Nurse Anesthetist
APN12070
TN
367500000X
Certified Registered Nurse Anesthetist
RN156847
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010006741
—
VA
Enumeration date
06/10/2005
Last updated
03/01/2019
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