Provider Demographics
NPI:1871579995
Name:MURRAY, VALERIE ANN (MD)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1146 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:AUTRYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28318-8446
Mailing Address - Country:US
Mailing Address - Phone:910-567-4866
Mailing Address - Fax:910-678-0915
Practice Address - Street 1:823 ELM ST
Practice Address - Street 2:SUITE 205
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4164
Practice Address - Country:US
Practice Address - Phone:910-678-2088
Practice Address - Fax:910-678-0915
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC344182084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8961588Medicaid
NC2234090Medicare ID - Type Unspecified
NC8961588Medicaid