Healthcare Provider Details

I. General information

NPI: 1619331253
Provider Name (Legal Business Name): NATHAN S MCMURRAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2016
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 MEDICAL CIR
WINCHESTER VA
22601-3322
US

IV. Provider business mailing address

128 MEDICAL CIR
WINCHESTER VA
22601-3322
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-8975
  • Fax: 540-667-6589
Mailing address:
  • Phone: 540-667-8975
  • Fax: 540-667-6589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number0101269982
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101269982
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: