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NPI Code Detail

MEDICARE: GRACIE MURRAY

MEDICARE:   GRACIE  MURRAY
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
1207Q00000XFamily Medicine Physician98353GA

General Provider Information

NPI Number : 1154061851
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACIE MURRAY
Provider Business Mailing Address
First Line : 4700 BATTLEFIELD PKWY STE 200
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-5168
Country : US
Telephone Number : 706-861-4990
Fax Number : 706-841-0094
Provider Business Practice Location Address
First Line : 4700 BATTLEFIELD PKWY STE 200
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-5168
Country : US
Telephone Number : 706-861-4990
Fax Number : 706-841-0094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 09/11/2025

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Directions to “ GRACIE MURRAY ” Practice Location

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