Provider Demographics
NPI:1891886222
Name:MARSHALL C. MURREY, MD
Entity Type:Organization
Organization Name:MARSHALL C. MURREY, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-264-0550
Mailing Address - Street 1:950 STATE FARM RD
Mailing Address - Street 2:SUITE 300
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:SUITE 300
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017YYOtherBCBS OF NC
NC7961630Medicaid
NC2343073Medicare ID - Type Unspecified