MEDICARE: MORGAN INTERNAL MEDICINE, PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154502920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN INTERNAL MEDICINE, PC

Provider Business Mailing Address
First Line	:	509 OLDE WATERFORD WAY
Second Line	:	SUITE 201
City	:	LELAND
State	:	NC
Zip	:	28451-4125
Country	:	US
Telephone Number	:	910-332-0241
Fax Number	:	910-332-0246

Provider Business Practice Location Address
First Line	:	509 OLDE WATERFORD WAY
Second Line	:	SUITE 201
City	:	LELAND
State	:	NC
Zip	:	28451-4125
Country	:	US
Telephone Number	:	910-332-0241
Fax Number	:	910-332-0246

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALAN L MORGAN
Credential	:	MD
Telephone Number	:	910-332-0241

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	11/20/2007

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