Provider Demographics
NPI:1205813367
Name:MURRAY, GARY CHARLES (MD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:CHARLES
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:70 MEDICAL CENTER CIR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2273
Mailing Address - Country:US
Mailing Address - Phone:540-932-5915
Mailing Address - Fax:540-932-5918
Practice Address - Street 1:70 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 211
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-932-5915
Practice Address - Fax:540-932-5918
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032742207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA012219OtherANTHEM BC/BS
VA91350OtherSOUTHERN HEALTH
VA2180554OtherFIRST HEALTH
VAB04984Medicare UPIN