Provider Demographics
NPI:1609530781
Name:MURPHY, MEKAYLA TAYLER (PA-C)
Entity Type:Individual
Prefix:
First Name:MEKAYLA
Middle Name:TAYLER
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11689 PARKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-2419
Mailing Address - Country:US
Mailing Address - Phone:513-256-6362
Mailing Address - Fax:
Practice Address - Street 1:2400 WISTERIA DR STE A
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2689
Practice Address - Country:US
Practice Address - Phone:770-985-9330
Practice Address - Fax:678-321-1540
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant