Doctor Name: | MARVIN W MORGAN |
NPI Number: | 1326195835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 03222 |
Business Practice Address: | 10828 Highway 57 Vancleave, MS - 395658264 |
Business Phone Number: | 2288264711 |
Business Fax Number: | 2288265929 |
Mailing Address: | Po Box 475, BILOXI |
State: | MS |
Postal Code: | 395330475 |
Phone Number: | 2283742494 |
Fax Number: | 2283740856 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 03222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |