Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CHIR007442 | GA |
NPI | 1184841983 |
---|---|
Provider Name | Dr. Richard Paul Morton |
First Address | Decatur, GA 30032-1512 |
Second Address | Decatur, GA 30032-1512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 11/12/2007 |