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Individual

CHARLES BRUCE MURDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
126 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 327-1212
(864) 327-1211
Mailing address
126 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 327-1212
(864) 327-1211

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12257
SC
207RN0300X
Nephrology Physician
Primary
12557
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122575
SC
01
390003440
RR MEDICARE
05
7906172
NC
Enumeration date
03/24/2006
Last updated
11/15/2011
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