Individual
MR. CLAYTON LEO MORGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6719 GOVERNOR GC PEERY HWY, RICHLANDS, VA 24641-2484
(276) 596-6778
Mailing address
118 12TH STREET, PRINCETON, WV 24740-2352
(304) 487-7936
(304) 431-5152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
824
WV
363A00000X
Physician Assistant
Primary
0110001422
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053383000
—
WA
05
—
1174621726
—
VA
Enumeration date
09/20/2006
Last updated
10/04/2023
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