Organization
MORRIS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY BRUNSON MORRIS MD (PRESIDENT)
(662) 726-4231
Entity
Organization
Contact information
Practice address
606 NORTH JEFFERSON ST, MACON, MS 39341-0111
(662) 726-4231
(662) 726-9339
Mailing address
PO BOX 111, MACON, MS 39341-0111
(662) 726-4231
(662) 726-9339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04398
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010948
—
MS
Enumeration date
09/26/2006
Last updated
08/22/2020
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