Individual
HERMAN GRADY MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2421 SILVER STREAM LANE, WILMINGTON, NC 28401
(910) 763-2072
(910) 763-1586
Mailing address
2421 SILVER STREAM LANE, WILMINGTON, NC 28401
(910) 763-2072
(910) 763-1586
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60706
BCBS NC
NC
05
—
8960706
—
NC
Enumeration date
09/26/2006
Last updated
10/30/2014
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