Provider Demographics
NPI:1285668574
Name:PARIS, RAY B (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:B
Last Name:PARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:643 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:GA
Mailing Address - Zip Code:30268-1138
Mailing Address - Country:US
Mailing Address - Phone:404-929-8824
Mailing Address - Fax:404-929-9769
Practice Address - Street 1:101 COMMERCE PL
Practice Address - Street 2:SUITE 1
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-1680
Practice Address - Country:US
Practice Address - Phone:770-358-4408
Practice Address - Fax:770-358-0002
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA19855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA080031158OtherRAIL ROAD MEDICARE
GA00160135GMedicaid
GA000160135IMedicaid
GA000160135JMedicaid
GA000160135JMedicaid
GA080031158OtherRAIL ROAD MEDICARE