Healthcare Provider Details

I. General information

NPI: 1245888221
Provider Name (Legal Business Name): MORGAN CAMILLE MCGHEE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 11/15/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9528 US HIGHWAY 19 NORTH
ZEBULON GA
30295
US

IV. Provider business mailing address

1670 CLAIRMONT RD
DECATUR GA
30033-4004
US

V. Phone/Fax

Practice location:
  • Phone: 770-567-7500
  • Fax:
Mailing address:
  • Phone: 404-321-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT014249
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: