Provider Demographics
NPI:1043256258
Name:MURRAY, JOHN CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARROLL
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3312 WESTOVER RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5027
Mailing Address - Country:US
Mailing Address - Phone:919-493-5897
Mailing Address - Fax:919-684-6505
Practice Address - Street 1:BOX 2907 DIV DERM DUKE UNIV MED CENTER
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-2393
Practice Address - Fax:919-684-6505
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC26134207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC85686Medicare UPIN