Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2910 | NC |
NPI | 1013011535 |
---|---|
Provider Name | Dr. William Randall Murray |
First Address | Raleigh, NC 27614-6499 |
Second Address | Raleigh, NC 27614-6499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
56-2255515 | TAX ID (01) | |
89085FC | (05) | NC |
U88087 | (02) | NC |