Basic Information
Provider Information
NPI: 1730637612
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: SARAH
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DROBKA
OtherFirstName: SARAH
OtherMiddleName: E
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3155 N POINT PKWY STE F100
Address2:  
City: ALPHARETTA
State: GA
PostalCode: 300055495
CountryCode: US
TelephoneNumber: 7706459181
FaxNumber:  
Practice Location
Address1: 1000 JOHNSON FERRY RD
Address2:  
City: ATLANTA
State: GA
PostalCode: 30342
CountryCode: US
TelephoneNumber: 7706459181
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2016
LastUpdateDate: 06/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367H00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant 

No ID Information.


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