Basic Information
Provider Information
NPI: 1619175924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRAY
FirstName: RHUNELLE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 E MCBEE AVE FL 4
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296012842
CountryCode: US
TelephoneNumber: 8645228603
FaxNumber:  
Practice Location
Address1: 200 PATEWOOD DR STE B350
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296156337
CountryCode: US
TelephoneNumber: 8644544500
FaxNumber: 8644544505
Other Information
ProviderEnumerationDate: 07/08/2007
LastUpdateDate: 07/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XMD436623PAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X2015-01043NCN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400XMD25081MEN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400XEL211116MEN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
174400000XMD436623PAN Other Service ProvidersSpecialist 
2084N0600X87632SCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology

ID Information
IDTypeStateIssuerDescription
10233413205PA MEDICAID
PENDING05NC MEDICAID
87632305SC MEDICAID


Home