Organization
THE MORGAN FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH DIANN MORGAN CFNP (NURSE PRACTITIONER)
(662) 390-8992
Entity
Organization
Contact information
Practice address
1699 S COLORADO ST, GREENVILLE, MS 38703-7211
(662) 390-8992
(662) 335-7933
Mailing address
PO BOX 4577, GREENVILLE, MS 38704-4577
(662) 332-8848
(662) 332-8854
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117241
—
MS
Enumeration date
10/01/2008
Last updated
10/20/2008
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