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NPI Code Detail

MEDICARE: STEVEN DARBY WRAY M.D.

MEDICARE:   STEVEN DARBY WRAY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician051280GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00072078OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1689679219
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DARBY WRAY M.D.
Provider Business Mailing Address
First Line : 2001 PEACHTREE RD NE STE 575
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1476
Country : US
Telephone Number : 404-350-0106
Fax Number : 404-350-0176
Provider Business Practice Location Address
First Line : 2001 PEACHTREE RD NE STE 575
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1476
Country : US
Telephone Number : 404-350-0106
Fax Number : 404-350-0176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/09/2015

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Directions to “ STEVEN DARBY WRAY M.D.” Practice Location

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