Organization
MURRAY INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDY LYNN FONTAINE (OFFICE MANAGER)
(706) 695-1488
Entity
Organization
Contact information
Practice address
106 HOSPITAL DR, CHATSWORTH, GA 30705-2070
(706) 695-1488
(706) 422-9586
Mailing address
106 HOSPITAL DR, CHATSWORTH, GA 30705-2070
(706) 695-1488
(706) 422-9586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00543837C
—
GA
Enumeration date
05/20/2008
Last updated
05/20/2008
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