Provider Demographics
NPI:1548732795
Name:NAILS, MORGAN ROSE (DC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ROSE
Last Name:NAILS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 FOREST HILLS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501
Mailing Address - Country:US
Mailing Address - Phone:434-384-1663
Mailing Address - Fax:434-384-7932
Practice Address - Street 1:3012 FOREST HILLS CIRCLE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501
Practice Address - Country:US
Practice Address - Phone:434-384-1663
Practice Address - Fax:434-384-7932
Is Sole Proprietor?:No
Enumeration Date:2018-12-28
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557584111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor