Provider Demographics
NPI:1881784957
Name:MURPHY, REBECCA REID (MD)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:REID
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:REID
Other - Last Name:BRECKENRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1655 E GREENVILLE ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2062
Mailing Address - Country:US
Mailing Address - Phone:864-716-7714
Mailing Address - Fax:864-226-6178
Practice Address - Street 1:1655 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2062
Practice Address - Country:US
Practice Address - Phone:864-224-6375
Practice Address - Fax:864-226-6178
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL28148207W00000X
SC28148207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC281484Medicaid
SCAA43962955Medicare PIN