1780264085 NPI number — MORGAN RAE SUTTON-CAVENDER ALC

Table of content: MORGAN RAE SUTTON-CAVENDER ALC (NPI 1780264085)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780264085 NPI number — MORGAN RAE SUTTON-CAVENDER ALC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUTTON-CAVENDER
Provider First Name:
MORGAN
Provider Middle Name:
RAE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ALC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780264085
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1701 JOLLIT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OPELIKA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36801-4723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-348-2915
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
166 N GAY ST STE 21
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36830-2004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-226-2141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  C3501A , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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