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General NPI Number Information
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NPI Number | 1497816672
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Entity Type | Organization
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Legal Business Name | PEE DEE OBGYN ASSOC., PA
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2845 E HIGHWAY 76 MEDICAL PARK 2 SUITE 2
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City | MULLINS
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State | SC
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Zip | 29574-6037
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Country | US
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Telephone | 843-431-2740
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Fax | 843-431-2197
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Provider Business Mailing Address
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Address Line | 2845 EAST HWY 76 MEDICAL PARK 2 SUITE 2
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City | MULLINS
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State | SC
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Zip | 29574-6037
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Country | US
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Telephone | 843-431-2740
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Fax | 843-431-2197
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNEST E MURRAY
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Credential | MD
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Telephone | 843-431-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8727
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License Number State | SC
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