Individual
BRENT S MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9527 W RIDGE TRAIL RD, SODDY DAISY, TN 37379-4018
(423) 842-3031
(423) 842-5353
Mailing address
3927 WINDTREE DR, SIGNAL MTN, TN 37377-1279
(423) 517-0544
(423) 842-5353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
045896
GA
208000000X
Pediatrics Physician
Primary
MD0000012571
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00211956A
—
GA
Enumeration date
10/07/2005
Last updated
03/31/2009
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