Individual
DR. JOHN TOM MORRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7580 CLARINGTON CV, SOUTHAVEN, MS 38671-5657
(901) 259-1600
(901) 259-1698
Mailing address
7580 CLARINGTON CV, SOUTHAVEN, MS 38671-5657
(901) 259-1600
(901) 259-1698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05653
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014524
—
MS
01
—
2005827
BLUE CROSS BLUE SHIELD
TN
01
—
2674210002
CIGNA
TN
05
—
3179835
—
TN
Enumeration date
04/28/2006
Last updated
04/03/2015
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