| Ray Clinic Pc | |
|
401 W Main St Swainsboro GA 30401-3110 | |
| (478) 237-9928 | |
| Not Available |
| Full Name | Ray Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 W Main St, Swainsboro, Georgia |
| Authorized Official Name and Position | James L Ray (PRESIDENT) |
| Authorized Official Contact | 4782379928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Clinic Pc 401 W Main St Swainsboro GA 30401-3110 Ph: (478) 237-9928 | Ray Clinic Pc 401 W Main St Swainsboro GA 30401-3110 Ph: (478) 237-9928 |
| NPI Number | 1629130109 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629130109 | NPI | - | NPPES |
| 00012889A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16126 (Georgia) | Primary |
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