Individual
MR. GEORGE THOMAS MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
785 OHIO AVE, STE 2G, CLARKSDALE, MS 38614-6217
(662) 624-8000
(662) 627-2900
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R775753
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116515
—
MS
Enumeration date
07/20/2006
Last updated
07/09/2019
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