Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Walter Shannon Ray, PAC

Individual provider Physician Assistant · NPI 1710081989

Walter Shannon Ray, PAC is a Physician Assistant in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

100 Doctors Dr Ste 103
Douglas, GA 31533-2210
Phone: (912) 383-9789
Fax: (912) 383-9435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003211 (GA)

Record details

NPI number1710081989
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESMarch 23, 2010

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