Provider Demographics
NPI:1659864718
Name:EBELING, MORGAN M (DO)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:EBELING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 ERVIN ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-3918
Mailing Address - Country:US
Mailing Address - Phone:517-270-1366
Mailing Address - Fax:
Practice Address - Street 1:190D SAUNDERSVILLE RD STE 2005
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1008
Practice Address - Country:US
Practice Address - Phone:615-567-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4816207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology