Basic Information
| Provider Information | |||||||||
| NPI: | 1023124500 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGAN-WASHINGTON | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | |||||||||
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| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 356 | ||||||||
| Address2: | |||||||||
| City: | BEAUFORT | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8439860157 | ||||||||
| FaxNumber: | 8439860145 | ||||||||
| Practice Location | |||||||||
| Address1: | 6315 JONATHAN FRANCIS SR RD | ||||||||
| Address2: | |||||||||
| City: | SAINT HELENA ISLAND | ||||||||
| State: | SC | ||||||||
| PostalCode: | 299205310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8438382086 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 03/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 03/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | SC2428 | SC | Y | Dental Providers | Dentist | General Practice |
ID Information
| ID | Type | State | Issuer | Description | 291077 | 05 | SC | MEDICAID | 970965 | 01 | TRICARE UNITED CONCORDIA | OTHER |