Ray, Mary Jo
Ray, Mary Jo is an sole proprietor health care provider with primary practice located at 318 West Pike Street Suite 104, Lawrenceville GA 30045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ray, Mary Jo can be contacted via phone (678) 377-2833.Contact Information
Primary practice address
318 West Pike Street Suite 104
Lawrenceville GA 30045
Phone: (678) 377-2833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT004020 | Georgia |
Profile Details
| NPI number | 1962578450 |
|---|---|
| LBN Legal business name | Ray, Mary Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962578450 | NPPES |
| Georgia | Other | 340274 | WELLCARE- AAKTS |
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