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Individual
DR. JACKSON DAVID MURPHY
Active
Individual
DR. JACKSON DAVID MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0000011819
TN
1223G0001X
General Practice Dentistry
Primary
9704
SC
Other
Enumeration date
07/30/2020
Last updated
04/25/2022
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