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Individual

MRS. MORGAN MCPHERSON ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1760 BASS RD STE 200A, MACON, GA 31210-1061
(478) 309-1212
(866) 493-2791
Mailing address
1760 BASS RD STE 200A, MACON, GA 31210-1061
(478) 309-1212
(866) 493-2791

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN227787
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AG02220162
AANP CERTIFICATION #
GA
01
RN227787
RN LICENSE #
GA
Enumeration date
04/25/2022
Last updated
04/29/2024
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