Basic Information
| Provider Information | |||||||||
| NPI: | 1992940258 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | SIDNEY | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | M.D., M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 460 MALL BLVD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 31406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9126445300 | ||||||||
| FaxNumber: | 9126445260 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 ROCKY FORD RD | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 304672027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9125647133 | ||||||||
| FaxNumber: | 9125642617 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2008 | ||||||||
| LastUpdateDate: | 04/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 075139 | GA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 11016568A | IN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207R00000X | 11016568A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | 75139 | GA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.