Provider Demographics
NPI:1548821291
Name:MORGAN, MORGAN ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:ELIZABETH
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:615 S DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-6184
Mailing Address - Country:US
Mailing Address - Phone:704-480-1882
Mailing Address - Fax:704-480-1832
Practice Address - Street 1:615 S DEKALB ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-6184
Practice Address - Country:US
Practice Address - Phone:704-480-1882
Practice Address - Fax:704-480-1832
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-12343363A00000X
TN3904103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)