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NPI Code Detail

MEDICARE: SIEDAH MORGAN MS, DO

MEDICARE: SIEDAH MORGAN MS, DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician105471GA

General Provider Information

NPI Number : 1710636873
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIEDAH MORGAN MS, DO
Provider Business Mailing Address
First Line : 743 SPRING ST NE STE 710
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-8730
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE STE 710
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3715
Country : US
Telephone Number : 770-219-8730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 02/03/2026

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Directions to “ SIEDAH MORGAN MS, DO” Practice Location

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