MEDICARE: HEATHER J. MORGAN, M.D., INC.

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	208D00000X	General Practice Physician	35025878M	OH

General Provider Information

NPI Number	:	1700811205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEATHER J. MORGAN, M.D., INC.

Provider Business Mailing Address
First Line	:	138 SOUTH MAIN STREET
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-2368
Country	:	US
Telephone Number	:	937-439-1797
Fax Number	:	937-439-2329

Provider Business Practice Location Address
First Line	:	138 SOUTH MAIN STREET
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-2368
Country	:	US
Telephone Number	:	937-439-1797
Fax Number	:	937-439-2329

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HEATHER J. MORGAN
Credential	:	M.D.
Telephone Number	:	937-439-1797

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/07/2023

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