Provider Demographics
NPI:1619141603
Name:DENNEY, JEFFREY MORGAN (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MORGAN
Last Name:DENNEY
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL CENTER BLVD
Mailing Address - Street 2:DEPT. OB/GYN, MFM SECTION (C/O PORTIA ELLERBE)
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-4594
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:DEPT. OB/GYN, MFM SECTION (C/O PORTIA ELLERBE)
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-4594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-00486207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1619141603OtherTRICARE
NC9266154OtherAETNA
SCSC MEDICAIDOtherQ0048X
WV3810026413OtherWV MEDICAID
NC1619141603Medicaid
NC1805TOtherBCBS
NC270391OtherMEDCOST
NCNCD847AMedicare PIN