Individual
MR. GARRY WAYNE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6025 WALNUT GROVE RD, SUITE 314, MEMPHIS, TN 38120-2131
(901) 682-7665
(901) 767-8486
Mailing address
420 CEDAR HILLS RD, HOLLY SPRINGS, MS 38635-7511
(662) 252-5733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R567604
MS
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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