Individual
AUSTIN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
4318 SE MALDEN ST, PORTLAND, OR 97206-8448
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MORG-6NR7JY
NC
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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