Provider Demographics
NPI:1801127444
Name:MURPHY, GEORGE ANDREW III (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:ANDREW
Last Name:MURPHY
Suffix:III
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 1:671 W ESPLANADE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2794
Mailing Address - Country:US
Mailing Address - Phone:504-471-3000
Mailing Address - Fax:
Practice Address - Street 1:671 W ESPLANADE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2794
Practice Address - Country:US
Practice Address - Phone:504-471-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA013261207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B65075Medicare UPIN