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1144275827

NPI Code Detail

MEDICARE: MR. THOMAS ROBERT MURPHY MD

MEDICARE: MR. THOMAS ROBERT MURPHY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	215341	MA
2	207K00000X	Allergy & Immunology Physician	29226	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144275827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ROBERT MURPHY MD

Provider Business Mailing Address
First Line	:	2295 HENRY TECKLENBURG DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-7801
Country	:	US
Telephone Number	:	843-766-7103
Fax Number	:	843-763-3834

Provider Business Practice Location Address
First Line	:	2295 HENRY TECKLENBURG DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-7801
Country	:	US
Telephone Number	:	843-766-7103
Fax Number	:	843-763-3834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/20/2017

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Directions to “ MR. THOMAS ROBERT MURPHY MD” Practice Location

Language	Start Address	Practice Location

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