Provider Demographics
NPI:1750452603
Name:MURPHY, ALEXIS (ATC, NREMT-B)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ATC, NREMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 WILDWOOD CROSSINGS
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-6421
Mailing Address - Country:US
Mailing Address - Phone:706-338-6152
Mailing Address - Fax:
Practice Address - Street 1:700 MONTGOMERY HWY
Practice Address - Street 2:SUITE MB-100A
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1866
Practice Address - Country:US
Practice Address - Phone:205-824-6390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT001132174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist