Provider Demographics
NPI:1205253390
Name:MARTIN, MORGAN SPARKS (MD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:SPARKS
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:PAIGE
Other - Last Name:SPARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1919 DAHLKE DR
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-3626
Mailing Address - Country:US
Mailing Address - Phone:256-739-9993
Mailing Address - Fax:256-739-9923
Practice Address - Street 1:1919 DAHLKE DR
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-3626
Practice Address - Country:US
Practice Address - Phone:256-739-9993
Practice Address - Fax:256-739-9923
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.445522086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery