Healthcare Provider Details

I. General information

NPI: 1548821291
Provider Name (Legal Business Name): MORGAN ELIZABETH MORGAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MORGAN ELIZABETH WEEKS

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 N ASPEN ST
LINCOLNTON NC
28092-6303
US

IV. Provider business mailing address

611 CHURCH ST N
CONCORD NC
28025-4322
US

V. Phone/Fax

Practice location:
  • Phone: 704-520-3620
  • Fax: 704-520-3660
Mailing address:
  • Phone: 704-963-9270
  • Fax: 704-963-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number3904
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12343
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: