Healthcare Provider Details

I. General information

NPI: 1689585077
Provider Name (Legal Business Name): WRAY HAND SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2554 LEWISVILLE CLEMMONS RD STE 201
CLEMMONS NC
27012-8749
US

IV. Provider business mailing address

8840 CENTERGROVE PLACE CT
CLEMMONS NC
27012-9382
US

V. Phone/Fax

Practice location:
  • Phone: 336-403-0634
  • Fax:
Mailing address:
  • Phone: 336-403-0634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER HARRILL WRAY III
Title or Position: OWNER
Credential: MD
Phone: 336-403-0634