MEDICARE: MRS. TRACY COLLEEN MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1043423973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACY COLLEEN MORGAN

Provider Business Mailing Address
First Line	:	1805 CATHEDRAL HILL DR
Second Line	:
City	:	BATAVIA
State	:	OH
Zip	:	45103-8911
Country	:	US
Telephone Number	:	513-797-1036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 CATHEDRAL HILL DR
Second Line	:
City	:	BATAVIA
State	:	OH
Zip	:	45103-8911
Country	:	US
Telephone Number	:	513-797-1036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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