Provider Demographics
NPI:1275012106
Name:MEDLEY, MORGAN GREER (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:GREER
Last Name:MEDLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 NUNNALLY FARM RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-5879
Mailing Address - Country:US
Mailing Address - Phone:404-290-2628
Mailing Address - Fax:
Practice Address - Street 1:4325 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-2341
Practice Address - Country:US
Practice Address - Phone:770-466-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH030716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist