Healthcare Provider Details
I. General information
NPI: 1124019401
Provider Name (Legal Business Name): JAMES HAROLD MORGAN JR. D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/04/2005
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 BISHOP LN N
MOBILE AL
36608-5838
US
IV. Provider business mailing address
PO BOX 8407
MOBILE AL
36689-0407
US
V. Phone/Fax
- Phone: 251-343-5971
- Fax: 251-343-7589
- Phone: 251-343-5971
- Fax: 251-343-7589
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 00208 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: