MEDICARE: MORGAN T STOKES PA

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	363A00000X	Physician Assistant	11311	GA

General Provider Information

NPI Number	:	1750963153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN T STOKES PA

Provider Business Mailing Address
First Line	:	156 FOSTER DR STE B
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-5346
Country	:	US
Telephone Number	:	770-506-4119
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 FOSTER DR STE B
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-5346
Country	:	US
Telephone Number	:	770-506-4119
Fax Number	:	770-506-4145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2021
Last Update Date	:	04/02/2025

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Directions to “ MORGAN T STOKES PA” Practice Location

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