Healthcare Provider Details

I. General information

NPI: 1801600168
Provider Name (Legal Business Name): MORGAN LEIGH SOPHIE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 08/21/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W FARIS RD
GREENVILLE SC
29605-4255
US

IV. Provider business mailing address

950 W FARIS RD
GREENVILLE SC
29605-4277
US

V. Phone/Fax

Practice location:
  • Phone: 864-271-3444
  • Fax:
Mailing address:
  • Phone: 864-271-3444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number30761
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: