Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 2006031054 | MO |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD43671 | TN |
NPI | 1811985989 |
---|---|
Provider Name | Dr. Thomas Matthew Morgan |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207623604 | (05) | MO |
OTH000166 | (02) |