|Active||Over 10 years ago|
|400 DIVISION ST
SOUTH CHARLESTON WV, 25309-1459, US
|PO BOX 9189
SOUTH CHARLESTON WV, 25309-0189, US
|License State||West Virginia|
|Remove 1033152418 NPI Number|
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.
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.