Provider Demographics
NPI:1245238187
Name:MURPHY, THOMAS J (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 OGLETHORPE AVE
Mailing Address - Street 2:SUITE 600A
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2179
Mailing Address - Country:US
Mailing Address - Phone:706-475-4933
Mailing Address - Fax:706-208-8259
Practice Address - Street 1:1199 PRINCE AVE
Practice Address - Street 2:MSB 2ND FLOOR
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2797
Practice Address - Country:US
Practice Address - Phone:706-475-1700
Practice Address - Fax:706-475-1790
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2020-10-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA030158207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4109855OtherAETNA
GA000403334GMedicaid
GA000403334HMedicaid
GA000403334KMedicaid
GA110069918OtherRAILORAD MEDICARE
GA000403334JMedicaid
GA000403334FMedicaid
GA000403334MMedicaid
GA00403334BMedicaid
GA1265432OtherUNITED HEALTHCARE
GA000403334IMedicaid
GA000403334LMedicaid
GA0451334OtherBLUE SHIELD
GA000403334LMedicaid
GA00403334BMedicaid
GA000403334HMedicaid