Individual
RANDALL DAVID MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6645 LAKE DR, MORROW, GA 30260-2354
(770) 968-9978
(770) 968-9975
Mailing address
PO BOX 278, JONESBORO, GA 30237-0278
(770) 968-9978
(770) 968-9975
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
030839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000359312H
—
GA
Enumeration date
06/02/2006
Last updated
11/02/2011
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