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NPI Code Detail

MEDICARE: STEPHEN A MURK M.D.

MEDICARE: STEPHEN A MURK 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
1207R00000XInternal Medicine Physician80921MA
2207R00000XInternal Medicine Physician31289SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00883532OTHERSCRAILROAD MEDICARE
45551OTHERSCMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952319238
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN A MURK M.D.
Provider Business Mailing Address
First Line : 3022 S MORGANS PT RD # 261
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7189
Country : US
Telephone Number : 843-847-1900
Fax Number : 843-654-7942
Provider Business Practice Location Address
First Line : 3100 TRADITION CIR
Second Line : SELECT SENIOR MEDICINE
City : MT PLEASANT
State : SC
Zip : 29466-7200
Country : US
Telephone Number : 843-906-5534
Fax Number : 843-654-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 07/29/2016

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Directions to “ STEPHEN A MURK M.D.” Practice Location

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