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Individual

MS. EDITH MILLIE MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
308 COLISEUM DR, SUITE #120, MACON, GA 31217-3808
(478) 745-6130
(478) 750-5899
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(478) 745-6130
(478) 745-4443

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN081555
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20250I1505
MEDICARE PTAN
GA
05
514845922F
GA
05
514845922G
GA
Enumeration date
01/10/2006
Last updated
08/18/2020
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