Individual
THERESA T MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 ELDAD RD, FAYETTEVILLE, TN 37334-7005
(931) 433-2229
(931) 433-2398
Mailing address
PO BOX 1077, 10 ELDAD RD, FAYETTEVILLE, TN 37334-1077
(931) 433-2229
(931) 433-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043363492
NPI
—
Enumeration date
06/16/2006
Last updated
05/13/2019
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