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General NPI Number Information
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NPI Number | 1639114697
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Entity Type | Individual
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Provider Name | ANGELA S RAY MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 2552 DESALES AVENUE
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 423-697-0014
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Fax | 423-648-6280
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Provider Business Mailing Address
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Address Line | 725 GLENWOOD DRIVE SUITE E487
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 423-697-0014
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Fax | 423-648-6280
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 056351
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 36433
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 21926
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2024003709
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License Number State | MO
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