Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | DO750 | AL |
N | 2081P2900X | Pain Medicine | DO750 | AL |
NPI | 1255477311 |
---|---|
Provider Name | Michael Kenneth Morris |
First Address | Gadsden, AL 35901-3210 |
Second Address | Gadsden, AL 35901-3210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H69493 | (02) |