Individual
DOUGLAS A MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD NE, SUITE 200, ATLANTA, GA 30342-1764
(404) 252-6104
(404) 257-1808
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
024995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000266648C
—
GA
05
—
000266648E
—
GA
05
—
00266648B
—
GA
01
—
237690
BCBS EDI#
GA
01
—
330002019
RR MEDICARE
GA
Enumeration date
04/20/2006
Last updated
03/27/2013
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