# MURRAY ANESTHESIA GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871533398
- **Authorized official:** DR. CHARLES L YATES MD (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (270) 762-1100

## Contact information

- **Practice address:** 803 POPLAR ST, MURRAY, KY 42071-2432
- **Practice address phone:** (270) 762-1100
- **Mailing address:** 255 W MICHIGAN AVE, JACKSON, MI 49201-2218
- **Mailing address phone:** (517) 787-6440
- **Mailing address fax:** (517) 787-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/20/2007