Individual
MORGAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-4900
Mailing address
100 HARLEY LN APT 1401, POOLER, GA 31322-3953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-176496
IL
Other
Enumeration date
04/17/2019
Last updated
12/04/2025
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