Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 0101035683 | VA |
Y | 2084N0400X | Neurologist | 13085 | TN |
NPI | 1003809781 |
---|---|
Provider Name | Steven Wesley Morgan |
First Address | Bristol, TN 37620-1712 |
Second Address | Bristol, TN 37620-1712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 19/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007101147 | (05) | VA |
010336015 | (05) | VA |
3000869 | (05) | TN |
6492469900 | (05) | KY |
68843 | (05) | TN |
A96651 | (02) | TN |