Individual
MR. JACK E MORRISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5100
(706) 270-5102
Mailing address
410 BENTON ST, # 8, DALTON, GA 30720-3432
(706) 876-9015
(706) 876-9015
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RN#169445
GA
Other
Enumeration date
11/18/2007
Last updated
11/18/2007
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