Provider Demographics
NPI:1871517748
Name:RAY, CHRISTI (DO)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602484
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2484
Mailing Address - Country:US
Mailing Address - Phone:910-259-0400
Mailing Address - Fax:910-675-3030
Practice Address - Street 1:7910 US HIGHWAY 117 S
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCKY POINT
Practice Address - State:NC
Practice Address - Zip Code:28457-9431
Practice Address - Country:US
Practice Address - Phone:910-259-0400
Practice Address - Fax:910-675-3030
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237785207Q00000X
NC2010-02002207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5916960Medicaid
NC1871517748Medicaid
SCQ02002Medicaid
SCQ02002Medicaid
NCNC9755AMedicare PIN
NC2076984Medicare PIN