Provider Demographics
NPI:1144687708
Name:MORGAN, ERIC DUSTIN (PA-C)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DUSTIN
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1099 MEDICAL CENTER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7367
Mailing Address - Country:US
Mailing Address - Phone:910-254-9995
Mailing Address - Fax:910-254-9996
Practice Address - Street 1:1099 MEDICAL CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7367
Practice Address - Country:US
Practice Address - Phone:910-854-9995
Practice Address - Fax:910-254-9996
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-06230208800000X, 363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208800000XAllopathic & Osteopathic PhysiciansUrology
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical