Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4975 | AL |
NPI | 1083751481 |
---|---|
Provider Name | Dr. Daniel Lee Morris JR. |
First Address | Florence, AL 35630-1197 |
Second Address | Florence, AL 35630-1197 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 24/08/2011 |