Provider Demographics
NPI:1356920771
Name:CORLAND, MORGAN MI
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MI
Last Name:CORLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 KARMAFLUX WAY # 2
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3897
Mailing Address - Country:US
Mailing Address - Phone:931-378-0582
Mailing Address - Fax:
Practice Address - Street 1:804 KARMAFLUX WAY # 2
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-3897
Practice Address - Country:US
Practice Address - Phone:931-378-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-04
Last Update Date:2021-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program