Organization
DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI P MORRIS M.D., PH.D. (OWNER)
(540) 371-7118
Entity
Organization
Contact information
Practice address
3501 LAFAYETTE BLVD, FREDERICKSBURG, VA 22408-4130
(540) 371-7118
(540) 371-3248
Mailing address
3501 LAFAYETTE BLVD, FREDERICKSBURG, VA 22408-4130
(540) 371-7118
(540) 371-3248
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101056982
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070011696
RAILROAD MEDICARE
VA
01
—
333606
ANTHEM BCBS GROUP NUMBER
VA
05
—
5901090
—
VA
01
—
C07097
MEDICARE GROUP NUMBER
VA
Enumeration date
11/21/2006
Last updated
08/14/2015
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