Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 40729 | SC |
Y | 2080P0202X | Pediatric Cardiologist | 40729 | SC |
NPI | 1255750428 |
---|---|
Provider Name | Dr. Laura Murray |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-0005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 27/01/2021 |