Organization
JACKSON P. MORGAN, III, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON P MORGAN III DDS (OWNER)
(912) 355-9330
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SUITE 504, SAVANNAH, GA 31404-6220
(912) 355-9330
(912) 355-9355
Mailing address
4700 WATERS AVE, SUITE 504, SAVANNAH, GA 31404-6220
(912) 355-9330
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
011606
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000780766A
—
GA
Enumeration date
08/14/2009
Last updated
08/14/2009
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