Individual
DR. KENNETH A MURDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8522
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
037876
GA
2080P0202X
Pediatric Cardiology Physician
MA07049200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1698872 (PA)
—
NJ
Enumeration date
09/29/2006
Last updated
11/30/2012
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