Individual
E ALLEN MORGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108479B
—
GA
05
—
191466194A
—
GA
01
—
242720
BCBS EDI
GA
01
—
970002275
RR MEDICARE
GA
Enumeration date
04/21/2006
Last updated
03/27/2013
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