MEDICARE: MORGAN CARDIOVASCULAR, PC

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	207RC0000X	Cardiovascular Disease Physician	15760	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962423897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN CARDIOVASCULAR, PC

Provider Business Mailing Address
First Line	:	PO BOX 1345
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38835-1345
Country	:	US
Telephone Number	:	662-665-0151
Fax Number	:	662-665-0158

Provider Business Practice Location Address
First Line	:	3035 CORDER DR
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-6216
Country	:	US
Telephone Number	:	662-665-0151
Fax Number	:	662-665-0158

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	KERRY MORGAN
Credential	:
Telephone Number	:	662-665-0151

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	04/16/2025

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