Provider Demographics
NPI:1952180705
Name:MURRAY MEDICAL ALLIANCE LLC
Entity Type:Organization
Organization Name:MURRAY MEDICAL ALLIANCE LLC
Other - Org Name:IUKA FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-279-0334
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-0144
Mailing Address - Country:US
Mailing Address - Phone:662-740-0334
Mailing Address - Fax:662-200-5958
Practice Address - Street 1:302 KAKI ST
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-1117
Practice Address - Country:US
Practice Address - Phone:662-740-0334
Practice Address - Fax:662-200-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2024-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty