Individual
DR. GRANVILLE A MORSE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 ROBERT E LEE, SUITE C, NEW ORLEANS, LA 70124
(504) 286-2004
(504) 286-2001
Mailing address
111 ROBERT E LEE BLVD, SUITE C, NEW ORLEANS, LA 70124
(504) 286-2004
(504) 286-2001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
026421
LA
207R00000X
Internal Medicine Physician
MD.026421
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064173
—
LA
01
—
H4048
BCBS-GROUP#
LA
Enumeration date
03/01/2006
Last updated
04/06/2017
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