Provider Demographics
NPI:1871639518
Name:MORGAN, CARYL LYNN (BSRN)
Entity Type:Individual
Prefix:MRS
First Name:CARYL
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5017 BROOKMERE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4780
Mailing Address - Country:US
Mailing Address - Phone:336-659-1270
Mailing Address - Fax:336-768-9082
Practice Address - Street 1:400 JONESTOWN RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-4623
Practice Address - Country:US
Practice Address - Phone:336-768-9515
Practice Address - Fax:336-768-9082
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC068832163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice