Ray, Thomas Brent

Ray, Thomas Brent is an individual health care provider with primary practice located at 501 W Oneida St , Waycross GA 31501-5337. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ray, Thomas Brent can be contacted via phone (912) 283-6471.

Contact Information

Primary practice address
501 W Oneida St Waycross GA 31501-5337
Phone: (912) 283-6471
Fax: (912) 283-6471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PODPOD001158 Georgia

Profile Details

NPI number 1679735336
LBN Legal business name Ray, Thomas Brent
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Feb 29th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679735336 NPPES
Other P00949916 RAILROAD MEDICARE
MEDICAID 003108317A RAILROAD MEDICARE

Popular Providers