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Individual

STEPHEN J MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
975 E. THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN048713
GA
163W00000X
Registered Nurse
RN34837
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN8749
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000581886B
GA
05
009903110
AL
01
3067786
BLUE CROSS BLUE SHIELD TN
TN
05
3604306
TN
01
430068560
RAILROAD MEDICARE
TN
05
8052076
NC
01
N365197
WELLCARE (GA MEDICAID)
GA
Enumeration date
12/04/2006
Last updated
02/02/2010
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