Individual
STEPHEN A MURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 TRADITION CIR, SELECT SENIOR MEDICINE, MT PLEASANT, SC 29466-7200
(843) 906-5534
(843) 654-7942
Mailing address
3022 S MORGANS PT RD # 261, MOUNT PLEASANT, SC 29466-7189
(843) 847-1900
(843) 654-7942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31289
SC
207R00000X
Internal Medicine Physician
80921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312897
MEDICAID GROUP #
SC
05
—
312897
—
SC
01
—
5551
MEDICARE GROUP #
SC
01
—
P00883532
RAILROAD MEDICARE
SC
Enumeration date
08/03/2006
Last updated
07/29/2016
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