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Individual

MRS. MAXINE LORRAINE MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9401458
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1202218
UNITED HEALTHCARE
01
183246
MEDCOST
01
61481
BCBS
NC
01
7701264
AETNA
01
8961481
CAROLINA ACCESS NC
05
8961481
NC
Enumeration date
04/19/2006
Last updated
01/27/2011
Update your record

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