Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 29226 | SC |
N | 207RA0201X | Internist - Allergy & Immunology | 215341 | MA |
NPI | 1144275827 |
---|---|
Provider Name | Mr. Thomas Robert Murphy |
First Address | Charleston, SC 29414-7801 |
Second Address | Charleston, SC 29414-7801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 20/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292267 | (05) | SC |
I63124 | (02) | SC |