Provider Demographics
NPI:1558944181
Name:FLANNAGAN, MORGAN RAE (AUD)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAE
Last Name:FLANNAGAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 GREENARD WATSON LN
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-1815
Mailing Address - Country:US
Mailing Address - Phone:706-983-1136
Mailing Address - Fax:
Practice Address - Street 1:12020 ETRIS RD STE B140
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-8013
Practice Address - Country:US
Practice Address - Phone:770-691-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist