Provider Demographics
NPI:1831636398
Name:MCMURTRY, EUNICE
Entity Type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:MCMURTRY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EUNICE
Other - Middle Name:
Other - Last Name:MCMURTRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:7545 FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2774
Mailing Address - Country:US
Mailing Address - Phone:404-438-7693
Mailing Address - Fax:
Practice Address - Street 1:7545 FIELDER RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2774
Practice Address - Country:US
Practice Address - Phone:404-438-7693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA01110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist