Provider Demographics
NPI:1982162780
Name:MURREY, MARY KATHERINE NESS (CPM, LM)
Entity type:Individual
Prefix:
First Name:MARY KATHERINE
Middle Name:NESS
Last Name:MURREY
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 POPLAR CT
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-6099
Mailing Address - Country:US
Mailing Address - Phone:706-825-5327
Mailing Address - Fax:
Practice Address - Street 1:96 POPLAR CT
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-6099
Practice Address - Country:US
Practice Address - Phone:706-825-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1054176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty