Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 75464 | GA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | DO.1591 | AL |
NPI | 1013205970 |
---|---|
Provider Name | Dr. Daniel Jason Morris |
First Address | Jasper, AL 35501-6117 |
Second Address | Jasper, AL 35501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2011 |
Last Update Date | 11/03/2019 |