Provider Demographics
NPI:1841374733
Name:MURRAY, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
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 1:200 E SALISBURY ST
Mailing Address - Street 2:GARLICK AND MURRAY FAMILY MEDICINE
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-5452
Mailing Address - Country:US
Mailing Address - Phone:919-545-0580
Mailing Address - Fax:919-545-0265
Practice Address - Street 1:200 E SALISBURY ST
Practice Address - Street 2:GARLICK AND MURRAY FAMILY MEDICINE
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5452
Practice Address - Country:US
Practice Address - Phone:919-545-0580
Practice Address - Fax:919-545-0265
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8961624Medicare ID - Type Unspecified
NC209086CMedicare ID - Type Unspecified
C85685Medicare ID - Type Unspecified