Morgan, Randall David
Morgan, Randall David is an sole proprietor health care provider with primary practice located at 6645 Lake Dr , Morrow GA 30260-2354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Morgan, Randall David can be contacted via phone (770) 968-9978.Contact Information
Primary practice address
6645 Lake Dr
Morrow GA 30260-2354
Phone: (770) 968-9978
Fax: (770) 968-9975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 030839 | Georgia |
Profile Details
| NPI number | 1144268376 |
|---|---|
| LBN Legal business name | Morgan, Randall David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 2nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144268376 | NPPES |
| Georgia | MEDICAID | 000359312H |
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