Provider Demographics
NPI:1912511841
Name:BONE, MORGAN LEIGH (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LEIGH
Last Name:BONE
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:MRS
Other - First Name:MORGAN
Other - Middle Name:LEIGH
Other - Last Name:BONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:164 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35769-6207
Mailing Address - Country:US
Mailing Address - Phone:256-244-4185
Mailing Address - Fax:
Practice Address - Street 1:164 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35769-6207
Practice Address - Country:US
Practice Address - Phone:256-244-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3097133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered