| Charity Ruth Bray, | |
|
1499 Fair Rd, Statesboro, GA 30458-1683 | |
| (912) 486-1000 | |
| Not Available |
| Full Name | Charity Ruth Bray |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 1499 Fair Rd, Statesboro, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235870932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 73726 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 112699 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanderbilt University Medical Center | 5092023416 | 3447 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Charity Ruth Bray, 5629 Hwy 21 S, Rincon, GA 31326-9416 Ph: (912) 295-2133 | Charity Ruth Bray, 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1000 |
Dr. James Daniel Weathers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 Savannah Ave, Statesboro, GA 30458 Phone: 912-681-9292 Fax: 866-811-9195 | |
Ian C Munger, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1111 | |
Scott T. Pottratz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1510 |