Healthcare Provider Details

I. General information

NPI: 1891611299
Provider Name (Legal Business Name): RAY FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 DEES DR SUITE A
MADISON MS
39110
US

IV. Provider business mailing address

423 HARRIETTE HOLW
MADISON MS
39110-8345
US

V. Phone/Fax

Practice location:
  • Phone: 601-850-0905
  • Fax:
Mailing address:
  • Phone: 601-850-0905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK RAY
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: DC
Phone: 601-856-8850