Ray, Tracy R

Ray, Tracy R is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 110 , Watkinsville GA 30677-7241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ray, Tracy R can be contacted via phone (706) 613-5880.

Contact Information

Primary practice address
1305 Jennings Mill Rd Ste 110 Watkinsville GA 30677-7241
Phone: (706) 613-5880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 18564 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 48075 Georgia

Profile Details

NPI number 1609843481
LBN Legal business name Ray, Tracy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 6th, 2019 - about 6 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 1609843481 NPPES
Alabama MEDICAID 051559050
Alabama Other 51006180
Alabama Other 51521091

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