Provider Demographics
NPI:1114903929
Name:MORGAN, HEATHER A (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 791248
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-1248
Mailing Address - Country:US
Mailing Address - Phone:770-693-6029
Mailing Address - Fax:770-693-6039
Practice Address - Street 1:100 E GRACE ST
Practice Address - Street 2:SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PC
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3272
Practice Address - Country:US
Practice Address - Phone:540-564-5532
Practice Address - Fax:540-564-7094
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238299174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
134482Medicare UPIN