Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29541 | AL |
N | 208000000X | Pediatrician | LL28000 | SC |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A121650 | CA |
NPI | 1164522413 |
---|---|
Provider Name | Dr. Heather Morgan |
First Address | Talbott, TN 37877-2900 |
Second Address | San Francisco, CA 94107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 03/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110703 | (05) | AL |