Provider Demographics
NPI:1245990654
Name:MURRAY, CATHY ADELL
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ADELL
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 WHISPERING PINES RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2581
Mailing Address - Country:US
Mailing Address - Phone:229-366-2259
Mailing Address - Fax:229-405-2870
Practice Address - Street 1:2020 WHISPERING PINES RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2581
Practice Address - Country:US
Practice Address - Phone:229-366-2259
Practice Address - Fax:229-405-2870
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA166272163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent