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Individual

DR. KEVIN ADAM MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
305 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-7212
(912) 384-4924
Mailing address
305 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-7212
(912) 384-4924

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001767
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00861506B
GA
01
4703740001
PALMETTO GBA
GA
01
860349350
AVESIS
GA
01
930330
BLUE CROSS & BLUE SHIELD
GA
01
GA1767
EYEMED
GA
01
TO19417
SPECTERA
GA
Enumeration date
04/18/2006
Last updated
04/03/2024
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