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TARA W RAY
611 ALCORN DR CORINTH MS 388349368

TARA W RAY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1265563365. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7719085687. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is MAGNOLIA REGIONAL HEALTH CENTER. The address is 611 ALCORN DR, , CORINTH, MS, 388349368. The zip code is 388349368.


Nation Provider ID1265563365
PAC ID by PECOS7719085687
Professional Enrollment IDI20070531000519
NameTARA W RAY
Medical School NameOTHER
Graduation Year2006
Primary SpecialtyCERTIFIED REGISTERED NURSE ANESTHETIST
All secondary specialties
Organization NameMAGNOLIA REGIONAL HEALTH CENTER
Group Practice PAC ID9739078460
Number of Group Practice members27
Address611 ALCORN DR, , CORINTH, MS, 388349368
Hospital affiliation LBNMAGNOLIA REGIONAL HEALTH CENTER
Graduation Year2006
Contact Number6012931000
Email Address[Show_Email_ID]

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