Provider Demographics
NPI:1326100033
Name:MURRAY, ATASHA M
Entity Type:Individual
Prefix:
First Name:ATASHA
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
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 83339
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-8019
Mailing Address - Country:US
Mailing Address - Phone:404-572-9849
Mailing Address - Fax:770-483-7903
Practice Address - Street 1:3325 COACH HOUSE CT
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-6391
Practice Address - Country:US
Practice Address - Phone:404-572-9849
Practice Address - Fax:770-483-7903
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker