| Dr Tara Fawn Ray, DO | |
|
400 Division St, Suite 3, South Charleston, WV 25309-1459 | |
| (304) 767-7960 | |
| (304) 767-7969 |
| Full Name | Dr Tara Fawn Ray |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 400 Division St, South Charleston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033152418 | NPI | - | NPPES |
| 3810002665 | Medicaid | WV | |
| 208724900 | Other | WV | TAX IDENTIFICATION |
| 2616995 | Other | OH | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2117 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Fawn Ray, DO Po Box 9189, South Charleston, WV 25309-0189 Ph: (304) 767-7960 | Dr Tara Fawn Ray, DO 400 Division St, Suite 3, South Charleston, WV 25309-1459 Ph: (304) 767-7960 |
Dr. Nathan Alan Baisden, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309 Phone: 304-767-7900 | |
John Patrick Hutton, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 218 D St, South Charleston, WV 25303 Phone: 304-720-3835 Fax: 866-931-8591 | |
Russell Irvin Voltin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Rita Gandhy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Poplar Street, Ste 202, South Charleston, WV 25309 Phone: 304-342-3891 Fax: 304-342-5307 | |
Daniel Bruce Thistlethwaite, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Amy Nickole Wehrle, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 |