Provider Demographics
NPI:1144594284
Name:MORGAN, FRNKLIN FORBES JR
Entity Type:Individual
Prefix:MR
First Name:FRNKLIN
Middle Name:FORBES
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:
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 301
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:GA
Mailing Address - Zip Code:31092-0301
Mailing Address - Country:US
Mailing Address - Phone:229-268-2111
Mailing Address - Fax:229-268-2117
Practice Address - Street 1:101 S 3RD ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:GA
Practice Address - Zip Code:31092-1511
Practice Address - Country:US
Practice Address - Phone:229-268-2111
Practice Address - Fax:229-268-2117
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH011617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist