1912283292 NPI number — DR. MURRAY MACINTYRE LUMPKIN M.D.

Table of content: DR. MURRAY MACINTYRE LUMPKIN M.D. (NPI 1912283292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912283292 NPI number — DR. MURRAY MACINTYRE LUMPKIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUMPKIN
Provider First Name:
MURRAY
Provider Middle Name:
MACINTYRE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1912283292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 DEVILS KNOB LOOP
Provider Second Line Business Mailing Address:
RURAL ROUTE 1, BOX 568
Provider Business Mailing Address City Name:
ROSELAND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22967-8083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-325-7338
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
950 DEVILS KNOB LOOP
Provider Second Line Business Practice Location Address:
RURAL ROUTE 1, BOX 568
Provider Business Practice Location Address City Name:
ROSELAND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22967-8083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-325-7338
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2011

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: 2080P0208X , with the licence number:  0101046058 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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