Provider Demographics
NPI:1740745637
Name:MORGAN, SAVANNAH CLAIRE EDSON (ATC)
Entity Type:Individual
Prefix:
First Name:SAVANNAH CLAIRE
Middle Name:EDSON
Last Name:MORGAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17955 OPP HWY
Mailing Address - Street 2:
Mailing Address - City:DOZIER
Mailing Address - State:AL
Mailing Address - Zip Code:36028-3609
Mailing Address - Country:US
Mailing Address - Phone:334-470-8282
Mailing Address - Fax:
Practice Address - Street 1:3078 DAUPHIN SQ CONN
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2500
Practice Address - Country:US
Practice Address - Phone:334-428-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer