Individual
DR. JASON E MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5445 MERIDIAN MARKS RD STE 390, ATLANTA, GA 30342-4755
(404) 237-3668
(404) 237-9562
Mailing address
900 CIRCLE 75 PKWY SE STE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000990
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202458594
TAX ID
GA
05
—
769029729A
—
GA
01
—
800578
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/08/2006
Last updated
02/19/2019
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