Individual provider · Type 1 NPI

Prima Dorothy Ray, PA-C

Medical Physician Assistant · Columbia, SC

NPI number 1083270912 Active

Practice location

109 Barton Creek Ct
Columbia, SC 29229-8027

Call (803) 256-2286 Map

Fax (803) 419-8430

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTL3224 (SC)
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700X3224 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1083270912

Prima Dorothy Ray, PA-C's National Provider Identifier is 1083270912, issued on May 16, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, SC. The record was last updated on Jul 17, 2023.