Provider Demographics
NPI:1487036778
Name:MURPHY, PATRICIA PAULINE
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:PAULINE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:PAULINE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1572 HIGHWAY 85 N
Mailing Address - Street 2:SUITE 611
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4054
Mailing Address - Country:US
Mailing Address - Phone:770-681-0892
Mailing Address - Fax:678-489-6717
Practice Address - Street 1:1572 HIGHWAY 85 N
Practice Address - Street 2:SUITE 611
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4054
Practice Address - Country:US
Practice Address - Phone:770-681-0892
Practice Address - Fax:678-489-6717
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6717172A00000X, 343900000X, 347C00000X, 347E00000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No344600000XTransportation ServicesTaxi