Provider Demographics
NPI:1093166068
Name:COLE, MORGAN WHITTANY (NP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:WHITTANY
Last Name:COLE
Suffix:
Gender:
Credentials:NP
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Mailing Address - Street 1:1072 X RAY DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7488
Mailing Address - Country:US
Mailing Address - Phone:704-671-1094
Mailing Address - Fax:
Practice Address - Street 1:651 WITHROW RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-9695
Practice Address - Country:US
Practice Address - Phone:828-288-1204
Practice Address - Fax:828-288-1205
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5008677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2333999Medicare PIN