Provider Demographics
NPI:1891987905
Name:LONGPHRE, JOHN PAUL MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN PAUL
Middle Name:MORGAN
Last Name:LONGPHRE
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 1:8802 PARTRIDGE RUN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9751
Mailing Address - Country:US
Mailing Address - Phone:919-933-0965
Mailing Address - Fax:
Practice Address - Street 1:8802 PARTRIDGE RUN
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9751
Practice Address - Country:US
Practice Address - Phone:919-933-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207PE0005X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine