Provider Demographics
NPI:1922194968
Name:MORGAN, ROSALYN L (MD)
Entity Type:Individual
Prefix:
First Name:ROSALYN
Middle Name:L
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010-AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35218
Mailing Address - Country:US
Mailing Address - Phone:205-785-7337
Mailing Address - Fax:205-788-4767
Practice Address - Street 1:2010-AVENUE F
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218
Practice Address - Country:US
Practice Address - Phone:205-785-7337
Practice Address - Fax:205-788-4767
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL012244208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0099700000Medicaid
AL0099700000Medicaid