Provider Demographics
NPI:1588647341
Name:MURRAY, ALISON CAMILLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:CAMILLE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 WINDMILL XING
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6630
Mailing Address - Country:US
Mailing Address - Phone:706-364-4615
Mailing Address - Fax:
Practice Address - Street 1:300 E. HOSPITAL RD
Practice Address - Street 2:RM 5B-43
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905
Practice Address - Country:US
Practice Address - Phone:706-787-1773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-26
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY535551163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse