Healthcare Provider Details

I. General information

NPI: 1982234688
Provider Name (Legal Business Name): MORGAN ELIZABETH HEPLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN ELIZABETH BROSS

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SANDY PLAINS RD STE 125
MARIETTA GA
30066-7221
US

IV. Provider business mailing address

2550 SANDY PLAINS RD STE 125
MARIETTA GA
30066-7221
US

V. Phone/Fax

Practice location:
  • Phone: 470-944-5290
  • Fax:
Mailing address:
  • Phone: 770-824-9421
  • Fax: 770-824-9422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9609
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: