Morton, Jatandra Anise
Morton, Jatandra Anise is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Morton, Jatandra Anise can be contacted via phone (678) 312-1000.Contact Information
Primary practice address
1000 Medical Center Blvd
Lawrenceville GA 30046-7694
Phone: (678) 312-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | BP10046231 | Texas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 84902 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 35.143554 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 309965 | Louisiana |
Profile Details
| NPI number | 1861836702 |
|---|---|
| LBN Legal business name | Morton, Jatandra Anise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2013 |
| Last updated | Apr 9th, 2025 - about last year |
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 | 1861836702 | NPPES |
| Ohio | MEDICAID | 0469362 |
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