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NPI Code Detail

MEDICARE: MORGAN W MASIE M.S.

MEDICARE: MORGAN W MASIE M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist000606560TN

General Provider Information

NPI Number : 1023434909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN W MASIE M.S.
Provider Business Mailing Address
First Line : 2525 SKYFALLS WAY
Second Line :
City : ANTIOCH
State : TN
Zip : 37013-1995
Country : US
Telephone Number : 615-480-4883
Fax Number :
Provider Business Practice Location Address
First Line : 4803 COLUMBIA PIKE
Second Line :
City : THOMPSONS STATION
State : TN
Zip : 37179-5207
Country : US
Telephone Number : 615-480-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2014
Last Update Date : 11/30/2017

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Directions to “ MORGAN W MASIE M.S.” Practice Location

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