Individual
DIANA C MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 791-9626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00637
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0830PA
—
SC
01
—
1285713149
CHAMPUS
NC
Enumeration date
11/03/2006
Last updated
12/31/2019
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