Provider Demographics
NPI:1073116224
Name:MCPHERSON, MORGAN LEIGH (LMBT)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:LEIGH
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BUCKBOARD LN
Mailing Address - Street 2:UNIT A
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8566
Mailing Address - Country:US
Mailing Address - Phone:336-706-3176
Mailing Address - Fax:
Practice Address - Street 1:48 BUCKBOARD LN
Practice Address - Street 2:UNIT A
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8566
Practice Address - Country:US
Practice Address - Phone:336-706-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist