Provider Demographics
NPI:1598477663
Name:MORGAN, CHRISTINE FAITH (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:FAITH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4265 GRAND OAKS DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5019
Mailing Address - Country:US
Mailing Address - Phone:770-689-7891
Mailing Address - Fax:
Practice Address - Street 1:4265 GRAND OAKS DR NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-5019
Practice Address - Country:US
Practice Address - Phone:770-689-7891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical