Provider Demographics
NPI:1861461667
Name:MURPHY, CHERYL R (IDC)
Entity Type:Individual
Prefix:MISS
First Name:CHERYL
Middle Name:R
Last Name:MURPHY
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:307 BURROUGHS AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5309
Mailing Address - Country:US
Mailing Address - Phone:843-228-2562
Mailing Address - Fax:843-228-3831
Practice Address - Street 1:669 BLVD DE FRANCE
Practice Address - Street 2:BRANCH HEALTH CLINIC
Practice Address - City:PARRIS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29905-9501
Practice Address - Country:US
Practice Address - Phone:843-228-2562
Practice Address - Fax:843-228-3831
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman