Provider Demographics
NPI:1144260803
Name:MORGAN, MICHELE LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LYNN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:L
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:835 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3527
Mailing Address - Country:US
Mailing Address - Phone:828-694-4552
Mailing Address - Fax:828-694-4553
Practice Address - Street 1:2775 HENDERSONVILLE RD STE 250
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-0060
Practice Address - Country:US
Practice Address - Phone:828-435-8250
Practice Address - Fax:828-435-8251
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054319174400000X
MA2488442084N0400X
NC2013-013892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2013-01389OtherMEDICAL LICENSE
GA054319OtherMEDICAL LICENSE
GA511I130028Medicare PIN
GA054319OtherMEDICAL LICENSE