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Individual

TIMOTHY BRICE MCMURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2751 TIDE MARK CV, BILOXI, MS 39531-2038
(228) 424-8235
Mailing address
4451 BLUEBONNET BLVD, BATON ROUGE, LA 70809-9646
(228) 424-8235

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6577
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LA

Other

Enumeration date
04/09/2014
Last updated
06/04/2015
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