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NPI Code Detail

MEDICARE: GREGORY T MORGAN JR. PA-C

MEDICARE: GREGORY T MORGAN JR. PA-C
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
1363A00000XPhysician Assistant1786TN

General Provider Information

NPI Number : 1326376047
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY T MORGAN JR. PA-C
Provider Business Mailing Address
First Line : 247 RENCH RD
Second Line :
City : KINGSTON
State : TN
Zip : 37763-6727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8045 ROANE MEDICAL CENTER DR
Second Line :
City : HARRIMAN
State : TN
Zip : 37748-8333
Country : US
Telephone Number : 180-046-5320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2009
Last Update Date : 08/19/2013

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