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NPI Code Detail

MEDICARE: JEANINE MORTON MA

MEDICARE: JEANINE MORTON MA
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
1235Z00000XSpeech-Language Pathologist6986NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275684599
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE MORTON MA
Provider Business Mailing Address
First Line : 603 OLDE MILL DR
Second Line :
City : SANFORD
State : NC
Zip : 27330-5754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 113 HILLCREST DR
Second Line :
City : SANFORD
State : NC
Zip : 27330-4020
Country : US
Telephone Number : 919-777-0240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

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Directions to “ JEANINE MORTON MA” Practice Location

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