Provider Demographics
NPI:1659837532
Name:CHARLES MURPHY, INC
Entity Type:Organization
Organization Name:CHARLES MURPHY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLIE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:251-978-5805
Mailing Address - Street 1:11741 COUNTY ROAD 54
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-5416
Mailing Address - Country:US
Mailing Address - Phone:251-978-5805
Mailing Address - Fax:
Practice Address - Street 1:11741 COUNTY ROAD 54
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5416
Practice Address - Country:US
Practice Address - Phone:251-978-5805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1295892537OtherPHYSICAL THERAPY