Provider Demographics
NPI:1982945234
Name:MURRAY, STEPHANIE RENE (MA, CD-B/P, DV)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:RENE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MA, CD-B/P, DV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 NOBLE VINES DR
Mailing Address - Street 2:2
Mailing Address - City:CLARKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30021-1397
Mailing Address - Country:US
Mailing Address - Phone:678-826-6724
Mailing Address - Fax:
Practice Address - Street 1:1028 NOBLE VINES DR
Practice Address - Street 2:2
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021-1397
Practice Address - Country:US
Practice Address - Phone:678-826-6724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula