Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 57361 | TN |
NPI | 1265796908 |
---|---|
Provider Name | Brandon Morrical |
First Address | Chattanooga, TN 37403-1405 |
Second Address | Chattanooga, TN 37403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 08/08/2018 |