Healthcare Provider Details

I. General information

NPI: 1891341335
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL MORGAN CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 08/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 UNIVERSITY BLVD E STE 400
TUSCALOOSA AL
35401-7420
US

IV. Provider business mailing address

701 UNIVERSITY BLVD E STE 400
TUSCALOOSA AL
35401-7420
US

V. Phone/Fax

Practice location:
  • Phone: 205-752-0694
  • Fax: 205-752-6244
Mailing address:
  • Phone: 205-752-0694
  • Fax: 205-752-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-132096
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: