Individual
MR. TIMOTHY MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1445 OLD MCDONOUGH HWY SE, CONYERS, GA 30094-5977
(770) 922-9222
Mailing address
11751 HAZELBRAND RD NE, COVINGTON, GA 30014-1065
(770) 760-7654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1386
GA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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