Basic Information
Provider Information
NPI: 1023377272
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VARNER
FirstName: JOSHUA
MiddleName: MORGAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3104 BLUE LAKE DR STE 110
Address2:  
City: VESTAVIA
State: AL
PostalCode: 352432372
CountryCode: US
TelephoneNumber: 2059771949
FaxNumber:  
Practice Location
Address1: 3104 BLUE LAKE DR STE 110
Address2:  
City: VESTAVIA
State: AL
PostalCode: 352432372
CountryCode: US
TelephoneNumber: 2059771949
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/09/2012
LastUpdateDate: 07/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X32790ALY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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