Healthcare Provider Details

I. General information

NPI: 1679945190
Provider Name (Legal Business Name): ANDREW MURPHY JR. PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DREW MURPHY PA

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 S SEVENTH ST
MC BEE SC
29101-7101
US

IV. Provider business mailing address

PO BOX 366
MC BEE SC
29101-0366
US

V. Phone/Fax

Practice location:
  • Phone: 843-335-8291
  • Fax:
Mailing address:
  • Phone: 843-335-8291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2443
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: