Wray, Walter H
Wray, Walter H is an individual health care provider with primary practice located at 6301 Stadium Dr , Clemmons NC 27012-8766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wray, Walter H can be contacted via phone (336) 766-6473.Contact Information
Primary practice address
6301 Stadium Dr
Clemmons NC 27012-8766
Phone: (336) 766-6473
Fax: (336) 766-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20519 | North Carolina |
Profile Details
| NPI number | 1629039870 |
|---|---|
| LBN Legal business name | Wray, Walter H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Feb 18th, 2013 - about 13 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 | 1629039870 | NPPES |
| North Carolina | MEDICAID | 8989276 |
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