Healthcare Provider Details

I. General information

NPI: 1851233423
Provider Name (Legal Business Name): ZACHARY MORGAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ZACH MORGAN

II. Dates (important events)

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

III. Provider practice location address

917 W WALNUT ST
JOHNSON CITY TN
37604-6527
US

IV. Provider business mailing address

917 W WALNUT ST
JOHNSON CITY TN
37604-6527
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-6464
  • Fax: 423-439-7118
Mailing address:
  • Phone: 423-439-6464
  • Fax: 423-439-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: