Tara Fawn Ray DO

NPI 1033152418 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1033152418
Gender Female
Enumeration Date 06/14/2006
Last Updated 05/17/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
400 DIVISION ST
SUITE 3
SOUTH CHARLESTON WV, 25309-1459, US
Phone (304) 767-7960
Fax (304) 767-7969
Business Location
PO BOX 9189
SOUTH CHARLESTON WV, 25309-0189, US
Phone (304) 767-7960
Fax (304) 767-7969
Toxanomy
Taxonomy Code 2084P0800X
License State West Virginia
License Number 2117
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According to our database, Dr. Tara Fawn Ray DO NPI is 1033152418, taxonomy code is 2084P0800X and license number is 2117, license state is located at West Virginia. Tara Fawn Ray DO physically located at 400 Division St, South Charleston WV, 25309-1459. NPI Number Tara Fawn Ray DO has the Individual type.

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1033152418 NPI number is provided on an as is basis without warranty of any kind. 1033152418 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Fawn Ray DO are for informational purposes only.