Individual
MRS. SANDRA MOORE MURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-7000
Mailing address
105 SAND DOLLAR CT, RAEFORD, NC 28376-5477
(910) 261-1211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2763558
PROVIDER NUMBER
NC
Enumeration date
04/11/2006
Last updated
06/14/2011
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