Individual
JEAN R MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4340 DECATUR HWY, KINGSTON, TN 37763-6734
(865) 717-6719
Mailing address
4340 DECATUR HWY, KINGSTON, TN 37763-6734
(865) 717-6719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24679
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110136882
RR MEDICARE
TN
05
—
3077810
—
TN
Enumeration date
06/21/2006
Last updated
06/04/2010
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