Provider Demographics
NPI:1619918166
Name:MORGAN, JAMES GARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GARRIS
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2320 DOUBLE CHURCHES RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-2618
Mailing Address - Country:US
Mailing Address - Phone:706-649-4000
Mailing Address - Fax:706-649-4001
Practice Address - Street 1:2320 DOUBLE CHURCHES RD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-2618
Practice Address - Country:US
Practice Address - Phone:706-649-4000
Practice Address - Fax:706-649-4001
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA054013207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI61617Medicare UPIN