Organization
ATLANTA OCULOFACIAL PLASTIC SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MURPHY MD (PRESIDENT/OWNER)
(770) 310-6579
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY NE STE 210, SANDY SPRINGS, GA 30328-4279
(770) 310-6579
Mailing address
3330 CUMBERLAND BLVD SE STE 200, ATLANTA, GA 30339-5996
(770) 951-8427
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
044030
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265233494
TRICARE
GA
01
—
F29516
UPIN
GA
Enumeration date
03/13/2018
Last updated
03/13/2018
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