Provider Demographics
NPI:1790703312
Name:MCLEMORE, MORGAN LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LEE
Last Name:MCLEMORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365C CLIFTON RD NE
Mailing Address - Street 2:SUITE C 3078
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-1900
Mailing Address - Fax:404-778-5520
Practice Address - Street 1:1365C CLIFTON RD NE
Practice Address - Street 2:SUITE C 3078
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1900
Practice Address - Fax:404-778-5520
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA59290207RH0000X
TXL9354207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159846801Medicaid
TXH70530Medicare UPIN