Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD001036 | GA |
Y | 222Z00000X | Podiatrist | POD001036 | GA |
NPI | 1003826702 |
---|---|
Provider Name | Dr. Patricia Whitmore Morris |
First Address | Atlanta, GA 30339-3084 |
Second Address | Norcross, GA 30092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 19/02/2019 |