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Individual

LAURA SUSAN RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 S INGESIDE ST, SUITE 6, FAIRHOPE, AL 36532
(251) 990-1740
(251) 990-1831
Mailing address
188 HOSPITAL DR, SUITE 402, FAIRHOPE, AL 36532
(251) 990-1740
(251) 990-1747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00022630
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051553949
AL
Enumeration date
05/03/2006
Last updated
03/08/2024
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