Individual
MR. TERRY LEE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
1111 20TH ST E, TIFTON, GA 31794-3689
(229) 382-9338
(229) 382-4282
Mailing address
800 OLD COFFEE RD, WRAY, GA 31798-3801
(229) 382-9338
(229) 382-4282
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000332A
—
GA
Enumeration date
11/17/2006
Last updated
06/04/2010
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