| Charles E. Ray, M.d. Apmc | |
|
1910 Johnson St Jennings LA 70546-3628 | |
| (337) 824-9012 | |
| (337) 824-9018 |
| Full Name | Charles E. Ray, M.d. Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1910 Johnson St, Jennings, Louisiana |
| Authorized Official Name and Position | Charles E Ray, M.d. Apmc (PHYSICIAN) |
| Authorized Official Contact | 3378249012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E. Ray, M.d. Apmc Po Box 1427 Jennings LA 70546-1427 Ph: (337) 824-9012 | Charles E. Ray, M.d. Apmc 1910 Johnson St Jennings LA 70546-3628 Ph: (337) 824-9012 |
| NPI Number | 1750607412 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Medicare PECOS PAC ID | 5597737486 |
|---|---|
| Medicare Enrollment ID | O20100423000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750607412 | NPI | - | NPPES |
| 4388804890 | Other | LA | BLUE CROSS OF LA |
| 1346110 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles E Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487732525 PECOS PAC ID: 3375515265 Enrollment ID: I20100323000184 |
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