Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 7028 | KY |
Y | 1223E0200X | Endodontist | 7028 | KY |
NPI | 1144274051 |
---|---|
Provider Name | Dr. Neil Evans Morey |
First Address | Fort Stewart, GA 31314-0001 |
Second Address | Fort Stewart, GA 31314-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 14/06/2016 |