| Jackson P. Morgan, Iii, Pc | |
|
4700 Waters Ave Suite 504 Savannah GA 31404-6220 | |
| (912) 355-9330 | |
| (912) 355-9355 |
| Full Name | Jackson P. Morgan, Iii, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4700 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Jackson P Morgan (OWNER) |
| Authorized Official Contact | 9123559330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson P. Morgan, Iii, Pc 4700 Waters Ave Suite 504 Savannah GA 31404-6220 Ph: (912) 355-9330 | Jackson P. Morgan, Iii, Pc 4700 Waters Ave Suite 504 Savannah GA 31404-6220 Ph: (912) 355-9330 |
| NPI Number | 1235361908 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235361908 | NPI | - | NPPES |
| 000780766A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 011606 (Georgia) | Primary |
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