Bray, David Allen
Bray, David Allen is an individual health care provider with primary practice located at 801 Austin Dr , Demorest GA 30535-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bray, David Allen can be contacted via phone (706) 754-8066.Contact Information
Primary practice address
801 Austin Dr
Demorest GA 30535-4513
Phone: (706) 754-8066
Fax: (706) 754-8086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 026464 | Georgia |
Profile Details
| NPI number | 1104916584 |
|---|---|
| LBN Legal business name | Bray, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104916584 | NPPES |
| Georgia | MEDICAID | 00406062A |
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