Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CHIR010406 | GA |
NPI | 1023609856 |
---|---|
Provider Name | Dr. Tyler Morris |
First Address | Calhoun, GA 30701-7051 |
Second Address | Calhoun, GA 30701-7051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |