Provider Demographics
NPI:1861493819
Name:MURPHY, TERRENCE PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:PATRICK
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE G-51
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1700
Mailing Address - Country:US
Mailing Address - Phone:404-250-1216
Mailing Address - Fax:404-250-0155
Practice Address - Street 1:5555 PEACHTREE DUNWOODY ROAD
Practice Address - Street 2:SUITE G-51
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1700
Practice Address - Country:US
Practice Address - Phone:404-250-1216
Practice Address - Fax:404-250-0155
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA326023207YX0901X
GA33413207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E96580Medicare UPIN
GA04BDBDVMedicare ID - Type Unspecified