Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2006-00930 | NC |
N | 111NI0900X | Internist | 2006-00930 | NC |
N | 207R00000X | Internist | 21772 | WV |
N | 111NI0900X | Internist | 21772 | WV |
Y | 207RI0200X | Infectious Disease | 2006-00930 | NC |
NPI | 1003982695 |
---|---|
Provider Name | Dr. Michael Richard Morgan |
First Address | Charlotte, NC 28275-1803 |
Second Address | Winston Salem, NC 27103-2934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 19/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003982695 | (05) | VA |
5908035 | (05) | NC |
I68281 | (02) | NC |