Morgan, Carl Randolph

Morgan, Carl Randolph is an individual health care provider with primary practice located at 280 Virginia Ave Ne Suite 107, Norton VA 24273-1538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Morgan, Carl Randolph can be contacted via phone (276) 679-5390.

Contact Information

Primary practice address
280 Virginia Ave Ne Suite 107 Norton VA 24273-1538
Phone: (276) 679-5390
Fax: (276) 679-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004384 Virginia

Profile Details

NPI number 1255752069
LBN Legal business name Morgan, Carl Randolph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2013
Last updated Oct 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255752069 NPPES
Virginia MEDICAID 1255752069
Virginia MEDICAID Q003803

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