Healthcare Provider Details

I. General information

NPI: 1093749673
Provider Name (Legal Business Name): CHARLES E MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6980 WINTON BLOUNT BLVD
MONTGOMERY AL
36117-3556
US

IV. Provider business mailing address

300 N COLLEGE ST
GREENVILLE AL
36037-2025
US

V. Phone/Fax

Practice location:
  • Phone: 334-277-0484
  • Fax:
Mailing address:
  • Phone: 334-382-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number12754
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: