Basic Information
| Provider Information | |||||||||
| NPI: | 1598792343 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRAY | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1747 MEDICAL CENTER PKWY | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371292563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158931600 | ||||||||
| FaxNumber: | 6152256887 | ||||||||
| Practice Location | |||||||||
| Address1: | 1747 MEDICAL CENTER PKWY | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371292563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158931600 | ||||||||
| FaxNumber: | 6152256887 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2006 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 13806 | TN | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.