Rayford, Walter

Rayford, Walter is an individual health care provider with primary practice located at 6029 Walnut Grove Rd Suite 300, Memphis TN 38120-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rayford, Walter can be contacted via phone (901) 767-8158.

Contact Information

Primary practice address
6029 Walnut Grove Rd Suite 300 Memphis TN 38120-2112
Phone: (901) 767-8158
Fax: (901) 767-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 40580 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 19176 Mississippi

Profile Details

NPI number 1821103151
LBN Legal business name Rayford, Walter
Credentials M.D., PHD., FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 17th, 2008 - about 16 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 1821103151 NPPES
Mississippi Other C00393 MS MEDICARE GROUP NUMBER
Mississippi MEDICAID 00127083 MS MEDICARE GROUP NUMBER
Mississippi Other 512I340011 MS MEDICARE GROUP NUMBER
Mississippi Other 4169189 MS MEDICARE GROUP NUMBER
Mississippi MEDICAID 3336328 MS MEDICARE GROUP NUMBER

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