Provider Demographics
NPI:1134501604
Name:MURPHY, CONOR (MD)
Entity type:Individual
Prefix:
First Name:CONOR
Middle Name:
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 1:3200 DOWNWOOD CIR NW STE 700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-5308
Mailing Address - Country:US
Mailing Address - Phone:404-355-0743
Mailing Address - Fax:855-590-3792
Practice Address - Street 1:3870 PLEASANT HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4807
Practice Address - Country:US
Practice Address - Phone:404-355-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308423207X00000X
TXT8000207X00000X, 207XX0004X
GA101470207XX0004X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX445069401Medicaid
GA101470OtherGEORGIA COMPOSITE MEDICAL BOARD - STATE LICENSE
TXT8000OtherTEXAS MEDICAL BOARD-STATE LICENSE