Healthcare Provider Details

I. General information

NPI: 1881463479
Provider Name (Legal Business Name): PAMELA DAWN MURRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA DAWN KINES

II. Dates (important events)

Enumeration Date: 12/25/2023
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 LEXINGTON RD
ATHENS GA
30605-2524
US

IV. Provider business mailing address

1500 1ST AVE N UNIT 3
BIRMINGHAM AL
35203-1866
US

V. Phone/Fax

Practice location:
  • Phone: 706-395-3675
  • Fax:
Mailing address:
  • Phone: 205-545-5088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN262546
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN262546
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: