Provider Demographics
NPI:1639402050
Name:WORKMAN, MORGAN THOMAS
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:THOMAS
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 HILDRETH DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-4325
Mailing Address - Country:US
Mailing Address - Phone:615-473-7147
Mailing Address - Fax:
Practice Address - Street 1:4095 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4547
Practice Address - Country:US
Practice Address - Phone:615-834-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011356183500000X
TN1064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist