Provider Demographics
NPI:1194078303
Name:JAMES G MORGAN DO PC
Entity type:Organization
Organization Name:JAMES G MORGAN DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-625-4155
Mailing Address - Street 1:PO BOX 347
Mailing Address - Street 2:3809 LANSING RD
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-0347
Mailing Address - Country:US
Mailing Address - Phone:517-625-4155
Mailing Address - Fax:
Practice Address - Street 1:3809 LANSING RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9773
Practice Address - Country:US
Practice Address - Phone:517-625-4155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Single Specialty