Healthcare Provider Details

I. General information

NPI: 1518601079
Provider Name (Legal Business Name): MORGAN RUSSELL ASKEW MD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CASABLANCA DR BLDG 1450
SAVANNAH GA
31409-5107
US

IV. Provider business mailing address

230 CASABLANCA DR BLDG 1450
SAVANNAH GA
31409-5107
US

V. Phone/Fax

Practice location:
  • Phone: 571-802-0435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number324925
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: