Provider Demographics
NPI:1336140268
Name:MURPHREE, PAUL DWAYNE (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DWAYNE
Last Name:MURPHREE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3600 FLORIDA BLVD
Mailing Address - Street 2:C/O HMG PHYSICIANS, LLC
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3842
Mailing Address - Country:US
Mailing Address - Phone:225-387-7070
Mailing Address - Fax:225-387-7700
Practice Address - Street 1:3600 FLORIDA BLVD
Practice Address - Street 2:C/O HMG PHYSICIANS, LLC
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3842
Practice Address - Country:US
Practice Address - Phone:225-387-7070
Practice Address - Fax:225-387-7700
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA023165207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00020228OtherRAIL ROAD MEDICARE
LA1497444Medicaid
LA5A326Medicare PIN
LA1497444Medicaid