Provider Demographics
NPI:1962498535
Name:MURPHY, ROBERT M JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:MURPHY
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 WARREN CARROLL DR
Mailing Address - Street 2:BOX 8502
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27695-8502
Mailing Address - Country:US
Mailing Address - Phone:478-951-7115
Mailing Address - Fax:
Practice Address - Street 1:2500 WARREN CARROLL DR
Practice Address - Street 2:BOX 8502
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27695-8502
Practice Address - Country:US
Practice Address - Phone:478-951-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20302255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer