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1053314096

NPI Code Detail

MEDICARE: SAMUEL E MURRELL III M.D.

MEDICARE: SAMUEL E MURRELL III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	34110	TN
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	34110	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
13	200037801	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00000015171	OTHER	TN	TLC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	620819926	OTHER	MS	BCBS
4	620819926	OTHER	TN	CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	620819926	OTHER	TN	TRICARE
8	620819926	OTHER	TN	AETNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	3144044	OTHER	TN	BCBS
11	5449601	OTHER	TN	AETNA
12	0033434	OTHER	TN	CIGNA
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053314096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL E MURRELL III M.D.

Provider Business Mailing Address
First Line	:	6077 PRIMACY PKWY STE 140
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-5742
Country	:	US
Telephone Number	:	901-725-8347
Fax Number	:	901-259-7637

Provider Business Practice Location Address
First Line	:	6286 BRIARCREST AVE
Second Line	:	SUITE 200
City	:	MEMPHIS
State	:	TN
Zip	:	38120-4023
Country	:	US
Telephone Number	:	901-641-3000
Fax Number	:	901-259-1698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/17/2021

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Directions to “ SAMUEL E MURRELL III M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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