Morgan, Dallas Renard

Morgan, Dallas Renard is an sole proprietor health care provider with primary practice located at 104 Patriot Way , Warner Robins GA 31088. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Morgan, Dallas Renard can be contacted via phone (478) 922-0448.

Contact Information

Primary practice address
104 Patriot Way Warner Robins GA 31088
Phone: (478) 922-0448
Fax: (478) 922-7944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD000490 Georgia

Profile Details

NPI number 1639262181
LBN Legal business name Morgan, Dallas Renard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639262181 NPPES
Georgia MEDICAID 00294082E

Popular Providers