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Individual

MRS. AMBER JORDAN MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3624 J DEWEY GRAY CIR, SUITE 103, AUGUSTA, GA 30909-6584
(706) 651-6700
(706) 651-6189
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 737-4575
(706) 731-5289

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005497
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1828
PHYSICIAN ASSISTANT LICENSE
GA
Enumeration date
11/25/2008
Last updated
10/21/2016
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