Individual
TOMMY JOHN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL DR STE 705, LAGRANGE, GA 30240-4130
(706) 885-0111
Mailing address
300 MEDICAL DR, SUITE 705, LAGRANGE, GA 30240-4130
(706) 885-0111
(706) 885-0607
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
057755
GA
2084P0800X
Psychiatry Physician
MD 11069
HI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
057755
GA
2084P0804X
Child & Adolescent Psychiatry Physician
MD 11069
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431288513A
—
GA
Enumeration date
07/18/2005
Last updated
05/16/2008
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