Provider Demographics
NPI:1558713776
Name:DAVID H. MORGAN, M.D.
Entity Type:Organization
Organization Name:DAVID H. MORGAN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-830-1776
Mailing Address - Street 1:8371 HIGHWAY 72 W STE 202
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9505
Mailing Address - Country:US
Mailing Address - Phone:256-830-1776
Mailing Address - Fax:256-830-1719
Practice Address - Street 1:8371 HIGHWAY 72 W STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9505
Practice Address - Country:US
Practice Address - Phone:256-830-1776
Practice Address - Fax:256-830-1719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18103174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000027094OtherMEDICARE PTAN
AL000027094Medicaid
AL340012041OtherRAILROAD MEDICARE PTAN
AL510-27094OtherBCBS