Individual
MR. KEATH L. MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203-2564
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN42479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000547951K
—
GA
05
—
000547951L
—
GA
05
—
000547951M
—
GA
05
—
00547951B
—
GA
01
—
327207
WELLCARE
GA
01
—
430002214
RAILROAD MEDICARE
GA
Enumeration date
04/28/2006
Last updated
01/31/2023
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