Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | PTH7265 | AL |
NPI | 1003215153 |
---|---|
Provider Name | John Murphy |
First Address | Florence, AL 35630-3431 |
Second Address | Kingsport, TN 37660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 11/04/2019 |