Provider Demographics
NPI:1174256291
Name:MORGAN, GEORGE EDWARD III
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:EDWARD
Last Name:MORGAN
Suffix:III
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 1:221 DENNING RD
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28333-8254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:221 DENNING RD
Practice Address - Street 2:
Practice Address - City:DUDLEY
Practice Address - State:NC
Practice Address - Zip Code:28333-8254
Practice Address - Country:US
Practice Address - Phone:336-708-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician