MEDICARE: DR. DARRELL LEE MURRAY SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22055	DC
2	207Q00000X	Family Medicine Physician	15154	MS
3	207Q00000X	Family Medicine Physician	9701830	NC
4	207Q00000X	Family Medicine Physician	044797	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447250170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRELL LEE MURRAY SR. M.D.

Provider Business Mailing Address
First Line	:	920 DANNON VIEW
Second Line	:	SUITE 3103
City	:	ATLANTA
State	:	GA
Zip	:	30331
Country	:	US
Telephone Number	:	404-549-9471
Fax Number	:	404-549-9486

Provider Business Practice Location Address
First Line	:	920 DANNON VIEW
Second Line	:	SUITE 3103
City	:	ATLANTA
State	:	GA
Zip	:	30331
Country	:	US
Telephone Number	:	404-549-9471
Fax Number	:	404-549-9486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	03/30/2020

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Directions to “ DR. DARRELL LEE MURRAY SR. M.D.” Practice Location

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