SearchGeorgia207Q00000X

Joel Bray

NPI 1457467219 · on the registry since 2006 · sole proprietor

Practice

Address
601 3rd St N
Soperton, GA 30457
Phone
(912) 529-4774
Fax
(912) 529-4409

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia