Provider Demographics
NPI:1548353741
Name:MCMURRY, WARREN WINSLOW (MD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:WINSLOW
Last Name:MCMURRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 PHYSICIANS DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7338
Mailing Address - Country:US
Mailing Address - Phone:910-343-0811
Mailing Address - Fax:910-343-5719
Practice Address - Street 1:1411 PHYSICIANS DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7338
Practice Address - Country:US
Practice Address - Phone:910-343-0811
Practice Address - Fax:910-343-5719
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31416208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC57982OtherBCBS OF NC INDV. #
NC1409891OtherUNITED HEALTHCARE NUMBER
NC79-57982Medicaid
NC020009412OtherRAILROAD MEDICARE INDV. #
NC204037AMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #
NC79-57982Medicaid