Healthcare Provider Details

I. General information

NPI: 1194078303
Provider Name (Legal Business Name): JAMES G MORGAN DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 LANSING RD
PERRY MI
48872-9773
US

IV. Provider business mailing address

PO BOX 347 3809 LANSING RD
PERRY MI
48872-0347
US

V. Phone/Fax

Practice location:
  • Phone: 517-625-4155
  • Fax:
Mailing address:
  • Phone: 517-625-4155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES G MORGAN
Title or Position: OWNER
Credential: DO
Phone: 517-625-4155