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Individual

DR. DALLAS RENARD MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
104 PATRIOT WAY, WARNER ROBINS, GA 31088
(478) 922-0448
(478) 922-7944
Mailing address
106 STATHAMS WAY, WARNER ROBINS, GA 31088
(478) 922-7032

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD000490
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00294082E
GA
Enumeration date
10/02/2006
Last updated
07/08/2007
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