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Individual

DR. RICHARD E MORGAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4817 MCADORY SCHOOL RD, SUITE 105, MC CALLA, AL 35111-3452
(205) 428-0007
(205) 428-0085
Mailing address
4817 MCADORY SCHOOL RD, SUITE 105, MC CALLA, AL 35111-3452
(205) 428-0007
(205) 428-0085

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5921
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
631259223
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/25/2012
Last updated
06/25/2012
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