Healthcare Provider Details

I. General information

NPI: 1477964039
Provider Name (Legal Business Name): DANIEL SALLIS MURRELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 CRESHAVEN RD STE 501
MEMPHIS TN
38119-0800
US

IV. Provider business mailing address

PO BOX 771684
MEMPHIS TN
38177-1684
US

V. Phone/Fax

Practice location:
  • Phone: 901-295-5100
  • Fax: 901-295-5101
Mailing address:
  • Phone: 901-295-5100
  • Fax: 901-295-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number62426
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: