Provider Demographics
NPI:1679576458
Name:MORGAN, CLAIRE C (MD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:C
Last Name:MORGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:C
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:26 SERENITY DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6763
Mailing Address - Country:US
Mailing Address - Phone:504-496-4325
Mailing Address - Fax:
Practice Address - Street 1:5003 HARDY ST
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1319
Practice Address - Country:US
Practice Address - Phone:601-296-3050
Practice Address - Fax:601-296-3060
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19306208000000X
LA0243452080P0204X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05356899Medicaid
LA1541222Medicaid