Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2018-00978 | NC |
N | 111NI0900X | Internist | 2018-00978 | NC |
Y | 207RH0002X | Hospice and Palliative Medicine | 2018-00978 | NC |
NPI | 1164494043 |
---|---|
Provider Name | Dr. Daniel Eric Ray |
First Address | Newton, NC 28658-9715 |
Second Address | Raleigh, NC 27607-7505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 09/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19WEV | BCBSNC (01) | NC |
2018-00978 | MEDICAL LICENSE (01) | NC |
BR1896779 | DEA (01) | NC |