Individual
MRS. ELSIE COLEMAN MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1462 MONTREAL RD, STE 214, TUCKER, GA 30084
(770) 934-9210
(770) 934-9209
Mailing address
1462 MONTREAL RD, STE 214, TUCKER, GA 30084
(770) 934-9210
(770) 934-9209
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
023392
GA
208000000X
Pediatrics Physician
023392
GA
2083X0100X
Occupational Medicine Physician
023392
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00258321L
—
GA
Enumeration date
12/23/2005
Last updated
09/16/2009
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