Basic Information
| Provider Information | |||||||||
| NPI: | 1043256258 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MURRAY | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | CARROLL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3312 WESTOVER RD | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277075027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194935897 | ||||||||
| FaxNumber: | 9196846505 | ||||||||
| Practice Location | |||||||||
| Address1: | BOX 2907 DIV DERM DUKE UNIV MED CENTER | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196842393 | ||||||||
| FaxNumber: | 9196846505 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 26134 | NC | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.