Provider Demographics
NPI:1164557864
Name:MURRAY, ALEXANDER VANCE (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:VANCE
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:806 GREEN VALLEY RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7042
Mailing Address - Country:US
Mailing Address - Phone:336-574-8020
Mailing Address - Fax:336-574-8022
Practice Address - Street 1:806 GREEN VALLEY RD
Practice Address - Street 2:SUITE 305
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7042
Practice Address - Country:US
Practice Address - Phone:336-574-8020
Practice Address - Fax:336-574-8022
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2013-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC29782207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC85683Medicare UPIN