Provider Information for 1043874233
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SHAKIRAH MORGAN
Sex: Female
NPI: 1043874233
Last Updated: 2025-03-10
Certification Date: 2025-03-10
Certification Date: 2025-03-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043874233 | ||||||||||||
| Enumeration Date | 2019-04-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 131 MIDDLETOWN, DE 19709-0131 United States Phone: 856-655-8444 | Fax: | ||||||||||||
| Primary Practice Address | 123 EAGLES LANDING PKWY STOCKBRIDGE, GA 30281-5092 United States Phone: 404-446-0300 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 141 S BLACK HORSE PIKE 2501 EBRIGHT RD | ||||||||||||
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