Provider Demographics
NPI:1447250170
Name:MURRAY, DARRELL LEE SR (MD)
Entity type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:LEE
Last Name:MURRAY
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:920 DANNON VIEW
Mailing Address - Street 2:SUITE 3103
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331
Mailing Address - Country:US
Mailing Address - Phone:404-549-9471
Mailing Address - Fax:404-549-9486
Practice Address - Street 1:920 DANNON VIEW
Practice Address - Street 2:SUITE 3103
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331
Practice Address - Country:US
Practice Address - Phone:404-549-9471
Practice Address - Fax:404-549-9486
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2020-03-30
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Provider Licenses
StateLicense IDTaxonomies
DC22055207Q00000X
MS15154207Q00000X
NC9701830207Q00000X
GA044797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000791931AJMedicaid
GAG42110Medicare UPIN
GA000791931AJMedicaid