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Individual

SHANNON SIMPSON MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 997-2150
(256) 997-2373
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 521-2759
(337) 593-1838

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.22836
AL
207Q00000X
Family Medicine Physician
Primary
060539
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340721084C
GA
Enumeration date
08/31/2006
Last updated
04/16/2015
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