Provider Demographics
NPI:1477541696
Name:MORGAN, CHARLES G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:G
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-8600
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:1506 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-966-8600
Practice Address - Fax:318-966-8601
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2022-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA07580R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1384321Medicaid
LA327641YJBUMedicare PIN
LA54922Medicare PIN