Provider Demographics
NPI:1164428041
Name:MURPHY, RYAN CHRISTOPHER (PA-C)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:CHRISTOPHER
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:910-332-3800
Mailing Address - Fax:910-251-0421
Practice Address - Street 1:5220 OLEANDER DR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7021
Practice Address - Country:US
Practice Address - Phone:910-395-8333
Practice Address - Fax:910-395-8473
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC103590363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC103590OtherLICENSE