Provider Demographics
NPI:1932391661
Name:MORGAN, AARON M (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:MORGAN
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 1:401 EVERGREEN AVE STE B.
Mailing Address - Street 2:
Mailing Address - City:BREWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36426
Mailing Address - Country:US
Mailing Address - Phone:251-286-8234
Mailing Address - Fax:251-286-8233
Practice Address - Street 1:401 EVERGREEN AVE STE B.
Practice Address - Street 2:
Practice Address - City:BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426
Practice Address - Country:US
Practice Address - Phone:251-286-8234
Practice Address - Fax:251-286-8233
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32274207Q00000X
ALMD32274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL160701Medicaid
AL261062Medicaid