Provider Demographics
NPI:1861105330
Name:MORGAN, IRIS RENEE
Entity type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:RENEE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
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Mailing Address - Street 1:380 LAKE KATHRYN DR
Mailing Address - Street 2:
Mailing Address - City:STERRETT
Mailing Address - State:AL
Mailing Address - Zip Code:35147-8068
Mailing Address - Country:US
Mailing Address - Phone:205-913-7622
Mailing Address - Fax:888-502-4077
Practice Address - Street 1:5511 HIGHWAY 280 STE 104
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-1506
Practice Address - Country:US
Practice Address - Phone:205-438-6406
Practice Address - Fax:888-502-4077
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter