Individual
MRS. KIMBERLY M MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3445 HENDERSON DR EXT, JACKSONVILLE, NC 28546
(910) 347-1283
(910) 347-2153
Mailing address
3445 HENDERSON DR EXT, JACKSONVILLE, NC 28546
(910) 347-1283
(910) 347-2153
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6066
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015K3
BCBS
—
05
—
8996192
—
NC
01
—
96192
BCBS
—
Enumeration date
04/17/2007
Last updated
07/08/2007
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