Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 00-39310 | NC |
Y | 207YS0123X | Facial Plastic Surgeon | 0101251514 | VA |
NPI | 1427050228 |
---|---|
Provider Name | George L Murrell |
First Address | Portsmouth, VA 23707-0068 |
Second Address | Chesapeake, VA 23320-1621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 18/08/2014 |