Provider Demographics
NPI:1992905384
Name:NOHRA, CHRISTY MURRAY (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:MURRAY
Last Name:NOHRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9446
Mailing Address - Country:US
Mailing Address - Phone:901-227-3255
Mailing Address - Fax:901-227-8591
Practice Address - Street 1:106 CLINTON PKWY
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-4730
Practice Address - Country:US
Practice Address - Phone:601-924-9005
Practice Address - Fax:601-925-9463
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2018-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS20009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03605010Medicaid
MSP00659764OtherPALMETTO GBA MEDICARE
MS512I080206Medicare PIN
512I080206Medicare PIN