Healthcare Provider Details

I. General information

NPI: 1013503655
Provider Name (Legal Business Name): SARAH MURPHY MSPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8954 HOSPITAL DR
DOUGLASVILLE GA
30134-2272
US

IV. Provider business mailing address

8954 HOSPITAL DR
DOUGLASVILLE GA
30134-2272
US

V. Phone/Fax

Practice location:
  • Phone: 678-838-2585
  • Fax:
Mailing address:
  • Phone: 678-838-2585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number10074
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number10074
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: