Provider Demographics
NPI:1669890935
Name:MURRAY, GLENN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:GLENN
Middle Name:PAUL
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7550 WOLF RIVER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1778
Mailing Address - Country:US
Mailing Address - Phone:901-542-6838
Mailing Address - Fax:901-542-6869
Practice Address - Street 1:7550 WOLF RIVER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138
Practice Address - Country:US
Practice Address - Phone:901-542-6838
Practice Address - Fax:901-542-6869
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2019-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNDO3310207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology