Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 12290 | SC |
N | 225000000X | Orthotic Fitter |
NPI | 1740379916 |
---|---|
Provider Name | Dr. Edward C. Morrison |
First Address | Charleston, SC 29407 |
Second Address | Mount Pleasant, SC 29464-3793 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 19/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020019900 | RAILROAD MEDICARE (01) | SC |
0489056 | AETNA (01) | SC |
122904 | (05) | SC |
37254 | MEDCOST (01) | SC |
570661850 | FEDERAL TAX ID (01) | SC |
610303400 | U S DEPARTMENT OF LABOR (01) | SC |
D05578 | (02) | SC |
PA1729 | (05) | SC |
S02120 | CIGNA (01) | SC |