Healthcare Provider Details

I. General information

NPI: 1447859608
Provider Name (Legal Business Name): SUNLIGHT PSYCHIATRIC SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 10/20/2020
Certification Date: 10/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 13TH ST APT C
COLUMBUS GA
31906-2182
US

IV. Provider business mailing address

PO BOX 8766
COLUMBUS GA
31908-8766
US

V. Phone/Fax

Practice location:
  • Phone: 706-464-5490
  • Fax: 706-243-3409
Mailing address:
  • Phone: 706-464-5490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. BRETT NICOLE MURPHY-DAWSON
Title or Position: CEO
Credential: MD
Phone: 706-464-5490