Individual
JACQUELYNE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 WESLEY CHAPEL RD, INDIAN TRAIL, NC 28079-5244
(704) 316-3616
(704) 316-1199
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-00079
NC
Other
Enumeration date
03/24/2017
Last updated
09/08/2021
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