Provider Demographics
NPI:1639163546
Name:MURREY, MARSHALL CARY (MD)
Entity Type:Individual
Prefix:
First Name:MARSHALL
Middle Name:CARY
Last Name:MURREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 STATE FARM RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5021
Mailing Address - Country:US
Mailing Address - Phone:828-264-0550
Mailing Address - Fax:828-262-3529
Practice Address - Street 1:950 STATE FARM RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5021
Practice Address - Country:US
Practice Address - Phone:828-264-0550
Practice Address - Fax:828-262-3529
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35447207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7961630Medicaid
NC7961630Medicaid
NC2174206Medicare ID - Type Unspecified