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Contact Information

BETTY WRAY, MD
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 706-721-2390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BETTY WRAY · (Female)

NPI # 1497866123
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 05/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 009305
  • GA Medicaid 000024395A
  • SC Medicaid 903428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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