Healthcare Provider Details

I. General information

NPI: 1699727404
Provider Name (Legal Business Name): DONALD SCOTT MURINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N ELAM AVE
GREENSBORO NC
27403-1118
US

IV. Provider business mailing address

PO BOX 405633
ATLANTA GA
30384-5633
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-1100
  • Fax: 336-832-0770
Mailing address:
  • Phone: 336-832-1100
  • Fax: 336-832-0770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number30430
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number30430
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: