Provider Demographics
NPI:1316974587
Name:MORGAN, W. HUGH (MD)
Entity type:Individual
Prefix:
First Name:W.
Middle Name:HUGH
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MOBLEY ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:SC
Mailing Address - Zip Code:29832-1366
Mailing Address - Country:US
Mailing Address - Phone:803-275-4653
Mailing Address - Fax:803-275-1951
Practice Address - Street 1:801 MOBLEY ST
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:SC
Practice Address - Zip Code:29832-1366
Practice Address - Country:US
Practice Address - Phone:803-275-4653
Practice Address - Fax:803-275-1951
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8866207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC0405Medicaid
SC428982Medicare ID - Type Unspecified
SCPC0405Medicaid