Healthcare Provider Details

I. General information

NPI: 1528987534
Provider Name (Legal Business Name): MADYSON R MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 SAINT ANDREWS RD STE 3
COLUMBIA SC
29210-5120
US

IV. Provider business mailing address

346 HILLTOP PL
COLUMBIA SC
29203-3939
US

V. Phone/Fax

Practice location:
  • Phone: 912-656-3375
  • Fax: 866-257-6071
Mailing address:
  • Phone: 912-656-3375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: