Provider Demographics
NPI:1720119381
Name:MURPHEY, SUSAN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH
Last Name:MURPHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 EASTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3667
Mailing Address - Country:US
Mailing Address - Phone:828-719-5060
Mailing Address - Fax:877-811-8150
Practice Address - Street 1:151 EASTBROOK DR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3667
Practice Address - Country:US
Practice Address - Phone:828-719-5060
Practice Address - Fax:877-811-8150
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13835OtherBLUE CROSS ID #
NC5902319Medicaid
TXF32323Medicare UPIN
NC5902319Medicaid