1306876776 NPI number — CYNDI LEE MURRAY M.S.

Table of content: CYNDI LEE MURRAY M.S. (NPI 1306876776)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306876776 NPI number — CYNDI LEE MURRAY M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURRAY
Provider First Name:
CYNDI
Provider Middle Name:
LEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306876776
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9289
Provider Second Line Business Mailing Address:
TMH MEDICAL PAVILION, SUITE 406
Provider Business Mailing Address City Name:
SOUTH CHARLESTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-767-7985
Provider Business Mailing Address Fax Number:
304-767-7989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4607 MACCORKLE AVE SW
Provider Second Line Business Practice Location Address:
SUITE 406
Provider Business Practice Location Address City Name:
SOUTH CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25309-1364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-767-7985
Provider Business Practice Location Address Fax Number:
304-767-7989
Provider Enumeration Date:
07/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  A-0218 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com