Provider Demographics
NPI:1720548043
Name:MORGAN CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MORGAN CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-332-6182
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-0030
Mailing Address - Country:US
Mailing Address - Phone:256-332-6182
Mailing Address - Fax:256-332-4943
Practice Address - Street 1:811 VILLAGE WOOD DR
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35654-8398
Practice Address - Country:US
Practice Address - Phone:256-332-4949
Practice Address - Fax:256-332-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty