Individual
MICHAEL MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2101 FORT HENRY DR SPC E-9, KINGSPORT, TN 37664-3658
(423) 246-1416
Mailing address
2101 FORT HENRY DR SPC E-9, KINGSPORT, TN 37664-3658
(423) 246-1416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3702
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2021
Last updated
01/27/2022
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