Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 042-0005712 | VT |
Y | 207RR0500X | Rheumatology | 5747 | NH |
NPI | 1316224553 |
---|---|
Provider Name | Dr. George James Morgan JR. |
First Address | Etna, NH 03750-4403 |
Second Address | Etna, NH 03750-4403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2011 |
Last Update Date | 15/11/2011 |