Provider Demographics
NPI:1992771000
Name:MORGAN, REX SHAD (MD)
Entity type:Individual
Prefix:
First Name:REX
Middle Name:SHAD
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 1:1200 TWO ISLAND CT
Mailing Address - Street 2:SUITE E
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7418
Mailing Address - Country:US
Mailing Address - Phone:843-849-1300
Mailing Address - Fax:843-849-1310
Practice Address - Street 1:1200 TWO ISLAND CT
Practice Address - Street 2:SUITE E
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7418
Practice Address - Country:US
Practice Address - Phone:843-849-1300
Practice Address - Fax:843-849-1310
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23358207QG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC233580Medicaid
SCAA10068307Medicare PIN
SCI36184Medicare UPIN
SCP00257343Medicare ID - Type UnspecifiedRAILROAD