| Derris W Ray | |
|
309 Walnut St Ste D Amite LA 70422-2039 | |
| (985) 748-5158 | |
| (985) 748-9942 |
| Full Name | Derris W Ray |
|---|---|
| Speciality | General Practice |
| Location | 309 Walnut St Ste D, Amite, Louisiana |
| Authorized Official Name and Position | Kirsten T Ray (OFFICE MANAGER) |
| Authorized Official Contact | 9857485158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derris W Ray 309 Walnut St Ste D Amite LA 70422-2039 Ph: (985) 748-5158 | Derris W Ray 309 Walnut St Ste D Amite LA 70422-2039 Ph: (985) 748-5158 |
| NPI Number | 1346871746 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346871746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Tangipahoa Parish School System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59656 Puleston Rd, Amite, LA 70422 Phone: 985-310-2103 | |
Reginald E Goldsby Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Walnut St, Ste D, Amite, LA 70422 Phone: 985-748-9030 Fax: 985-748-5352 | |
Tangipahoa Parish School System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59656 Puleston Rd, Amite, LA 70422 Phone: 985-310-2103 | |
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