Individual
JOHNNIE E MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1332 SUNSET DR, SUITE A, GRENADA, MS 38901-4000
(662) 229-0690
(662) 229-0352
Mailing address
PO BOX 1169, SUITE A, GRENADA, MS 38902-1169
(662) 229-0690
(662) 229-0352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0995
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122244
—
MS
01
—
3051083001
CIGNA HEALTHCARE
MS
Enumeration date
09/05/2006
Last updated
11/16/2016
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