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NPI Code Detail

MEDICARE: MEGAN L MORRIS ATC,OTC

MEDICARE: MEGAN L MORRIS ATC,OTC
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
1225500000XRespiratory/Developmental/Rehabilitative Specialist/TechnologistAT000972GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1911255OTHERGABCBS OF GA

General Provider Information

NPI Number : 1114134988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN L MORRIS ATC,OTC
Provider Business Mailing Address
First Line : 4804 HUNTERS XING
Second Line :
City : VALDOSTA
State : GA
Zip : 31602-4940
Country : US
Telephone Number : 229-247-4970
Fax Number :
Provider Business Practice Location Address
First Line : 2109 N PATTERSON ST
Second Line : STE A
City : VALDOSTA
State : GA
Zip : 31602-2946
Country : US
Telephone Number : 229-247-5225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/08/2007

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