Provider Demographics
NPI:1922358290
Name:MURPHY, DAVID WAYNE (AUDIOPROSTHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WAYNE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:AUDIOPROSTHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MA MANCIL DR
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-7837
Mailing Address - Country:US
Mailing Address - Phone:912-253-8899
Mailing Address - Fax:912-289-1298
Practice Address - Street 1:401 WARD ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-3505
Practice Address - Country:US
Practice Address - Phone:912-384-7222
Practice Address - Fax:912-389-1298
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA270237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist