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NPI Code Detail

MEDICARE: ERNEST AUBREY MURDEN JR. M.D.

MEDICARE:   ERNEST AUBREY MURDEN JR. 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
1174400000XSpecialist0101016485VA
2174400000XSpecialist14468NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497751762
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNEST AUBREY MURDEN JR. M.D.
Provider Business Mailing Address
First Line : 1245 CEDAR RD STE G
Second Line : PMB #312
City : CHESAPEAKE
State : VA
Zip : 23322-7141
Country : US
Telephone Number : 757-488-2080
Fax Number : 757-405-3025
Provider Business Practice Location Address
First Line : 4020 RAINTREE RD
Second Line : STE C
City : CHESAPEAKE
State : VA
Zip : 23321-3749
Country : US
Telephone Number : 757-488-2080
Fax Number : 757-405-3025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 05/25/2014

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