Wallace, Heather Morgan
Wallace, Heather Morgan is an individual health care provider with primary practice located at 230 E Derenne Ave , Savannah GA 31405-6736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Wallace, Heather Morgan can be contacted via phone (912) 790-4000.Contact Information
Primary practice address
230 E Derenne Ave
Savannah GA 31405-6736
Phone: (912) 790-4000
Fax: (912) 790-4407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 18108 | Mississippi |
Profile Details
| NPI number | 1336173574 |
|---|---|
| LBN Legal business name | Wallace, Heather Morgan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jan 21st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336173574 | NPPES |
| Mississippi | MEDICAID | 00857566 | |
| Mississippi | Other | P00462352 | |
| Mississippi | MEDICAID | 003131576D |
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