Provider Demographics
NPI:1831500438
Name:MORGAN SMITH LLC
Entity Type:Organization
Organization Name:MORGAN SMITH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-428-2269
Mailing Address - Street 1:2199 N DECATUR RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5398
Mailing Address - Country:US
Mailing Address - Phone:404-428-2269
Mailing Address - Fax:888-974-6127
Practice Address - Street 1:2199 N DECATUR RD
Practice Address - Street 2:SUITE 4
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5398
Practice Address - Country:US
Practice Address - Phone:404-428-2269
Practice Address - Fax:888-974-6127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty