Provider Demographics
NPI:1659575900
Name:MURRAY, SHAWNE ELAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:SHAWNE
Middle Name:ELAINE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 E BELLE ISLE RD NE
Mailing Address - Street 2:#211
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2388
Mailing Address - Country:US
Mailing Address - Phone:404-246-3132
Mailing Address - Fax:
Practice Address - Street 1:5150 ROSWELL RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2208
Practice Address - Country:US
Practice Address - Phone:404-246-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030159204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM