NPI 1659997633

Anthony Murray

Practitioner Driver Moncks Corner, SC

Practice location

Address: 119 Stoney Creek Way, Moncks Corner, SC 29461-7381
Phone: (843) 806-6773
Mailing address: PO Box 186, Moncks Corner, SC 29461-0186

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 100200162 (SC)

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Registry record

NPI: 1659997633
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2020
Record last updated: 24 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.