Provider Demographics
NPI:1194471847
Name:MORGAN, BELTON ANTHONY JR (MT-BC)
Entity Type:Individual
Prefix:MR
First Name:BELTON
Middle Name:ANTHONY
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 CALIBRE CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4556
Mailing Address - Country:US
Mailing Address - Phone:772-205-8389
Mailing Address - Fax:
Practice Address - Street 1:1001 MACY DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-6335
Practice Address - Country:US
Practice Address - Phone:678-965-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
17195225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist