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Organization
DEBRAD MORGAN, DPM, LLC
Active
Organization
DEBRAD MORGAN, DPM, LLC
Active
Other names
DEBRA D MORGAN DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA DENISE MORGAN DPM (DPM/ OWNER)
(706) 877-8996
Entity
Organization
Contact information
Practice address
3479 SHARON RD, AUGUSTA, GA 30909-9539
(706) 877-8996
Mailing address
PO BOX 15511, AUGUSTA, GA 30919-1511
(706) 877-8996
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000736
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033113
—
AL
01
—
149
ALABAMA STATE PODIATRY LICENSE
AL
01
—
510-33113MOR
BLUE CROSS PROVIDER NUMBER ALABAMA
AL
01
—
POD000736
GEORGIA STATE PODIATRY LICENSE
GA
Enumeration date
11/03/2016
Last updated
11/03/2016
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