MEDICARE: DR. JAY H. MURRAY 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	208600000X	Surgery Physician	19193	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	511-53005	OTHER	AL	BLUE CROSS OF AL
4	511-53005	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1437154622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY H. MURRAY M.D.

Provider Business Mailing Address
First Line	:	6701 AIRPORT BLVD STE D143
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-6701
Country	:	US
Telephone Number	:	251-342-3949
Fax Number	:	251-266-3361

Provider Business Practice Location Address
First Line	:	6701 AIRPORT BLVD STE A208
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-3763
Country	:	US
Telephone Number	:	251-266-3544
Fax Number	:	251-266-3543

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	02/11/2019

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