1275857591 NPI number — MRS. MELISSA BRACKEN RAY M.S.C.T.

Table of content: MRS. MELISSA BRACKEN RAY M.S.C.T. (NPI 1275857591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275857591 NPI number — MRS. MELISSA BRACKEN RAY M.S.C.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAY
Provider First Name:
MELISSA
Provider Middle Name:
BRACKEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.C.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275857591
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1321 MCMILLAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BREWTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36426-1324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-867-3242
Provider Business Mailing Address Fax Number:
251-867-7151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
328 W CLAIBORNE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36460-1738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-575-4203
Provider Business Practice Location Address Fax Number:
251-575-9459
Provider Enumeration Date:
03/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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