Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 0038 | NC |
N | 1223P0106X | Oral and Maxillofacial Pathology | 17357 | TX |
N | 1223P0106X | Oral and Maxillofacial Pathology | D9601 | MN |
NPI | 1114954211 |
---|---|
Provider Name | Dr. Valerie Ann Murrah |
First Address | Chapel Hill, NC 27599-0001 |
Second Address | Chapel Hill, NC 27599-7450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5901528 | (05) | NC |
899007E | (05) | NC |
9007E | BLUE CROSS BLUE SHIELD (01) | NC |
T47029 | (02) | NC |