Individual
MOKHTAR O MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 HILLPOINT BLVD N, SUFFOLK, VA 23434-7181
(757) 934-3434
(757) 538-9038
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101232734
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005647371
—
VA
Enumeration date
07/20/2005
Last updated
11/03/2020
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