Provider Demographics
NPI:1891819165
Name:RAY, THOMAS MORE (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MORE
Last Name:RAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-6052
Mailing Address - Country:US
Mailing Address - Phone:828-750-0266
Mailing Address - Fax:
Practice Address - Street 1:606 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-6052
Practice Address - Country:US
Practice Address - Phone:828-750-0266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501067208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC9501067OtherLICENSE
NC8970518Medicaid
NC70518OtherBLUE CROSS BLUE SHIELD
NC70518OtherBLUE CROSS BLUE SHIELD