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NPI Code Detail

MEDICARE: DR. MORGAN ARVIDSON TODD MD

MEDICARE: DR. MORGAN ARVIDSON TODD MD
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
1207Q00000XFamily Medicine PhysicianLL27701SC
2207Q00000XFamily Medicine Physician200701097NC

General Provider Information

NPI Number : 1548347040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORGAN ARVIDSON TODD MD
Provider Business Mailing Address
First Line : 2421 SILVER STREAM LN
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7684
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-8824
Provider Business Practice Location Address
First Line : 8715 E OAK ISLAND DR
Second Line :
City : OAK ISLAND
State : NC
Zip : 28465-8367
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-8824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/13/2014

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