Healthcare Provider Details
I. General information
NPI: 1518120856
Provider Name (Legal Business Name): CHRISTINE ADEFUIN MURAKAMI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2008
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1123 SPRING ST
GREENWOOD SC
29646-3833
US
IV. Provider business mailing address
1123 SPRING ST
GREENWOOD SC
29646-3833
US
V. Phone/Fax
- Phone: 864-450-9036
- Fax:
- Phone: 864-450-9036
- Fax: 864-450-9038
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | 36601 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: