Ray, Gary Lee

Ray, Gary Lee is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Ray, Gary Lee can be contacted via phone (336) 713-2555.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 098705 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 047468 North Carolina

Profile Details

NPI number 1811990815
LBN Legal business name Ray, Gary Lee
Credentials MSN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 4th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990815 NPPES
North Carolina Other 430044435 RR MEDICARE
North Carolina MEDICAID 8051111 RR MEDICARE

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