MEDICARE: TERRENCE PATRICK MURPHY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0901X	Otology & Neurotology Physician	326023	LA
2	207YX0901X	Otology & Neurotology Physician	33413	GA

General Provider Information

NPI Number	:	1861493819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRENCE PATRICK MURPHY M.D.

Provider Business Mailing Address
First Line	:	5555 PEACHTREE DUNWOODY ROAD
Second Line	:	SUITE G-51
City	:	ATLANTA
State	:	GA
Zip	:	30342-1700
Country	:	US
Telephone Number	:	404-250-1216
Fax Number	:	404-250-0155

Provider Business Practice Location Address
First Line	:	5555 PEACHTREE DUNWOODY ROAD
Second Line	:	SUITE G-51
City	:	ATLANTA
State	:	GA
Zip	:	30342-1700
Country	:	US
Telephone Number	:	404-250-1216
Fax Number	:	404-250-0155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/07/2022

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