Healthcare Provider Details
I. General information
NPI: 1659897122
Provider Name (Legal Business Name): HILLARY MURPHY RAMOS PT, DPT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/16/2017
Last Update Date: 08/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7985 KNIGHT RD
GAINESVILLE GA
30506-6427
US
IV. Provider business mailing address
4195 PLEASANT WOODS DR
CUMMING GA
30028-4094
US
V. Phone/Fax
- Phone: 770-781-4899
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | AT002494 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT013123 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: