Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6943 | SC |
N | 1223D0001X | Dental Public Health | D9100 | OR |
NPI | 1700047313 |
---|---|
Provider Name | Dr. Shelley Irving Murphy |
First Address | Hilton Head Island, SC 29928-4703 |
Second Address | Hilton Head Island, SC 29928-4703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 16/06/2011 |