Individual
JASON KENDELL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 FREDERICK DR, CLEVELAND, MS 38732-2006
(662) 299-2999
(662) 846-8989
Mailing address
618 FREDERICK DR, CLEVELAND, MS 38732-2006
(662) 299-2999
(662) 846-8989
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
049069
GA
2085B0100X
Body Imaging Physician
Primary
14181
MS
2085B0100X
Body Imaging Physician
693403
TN
2085B0100X
Body Imaging Physician
E-0389
AR
2085B0100X
Body Imaging Physician
MD.200141
LA
2085R0204X
Vascular & Interventional Radiology Physician
14181
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118193
—
MS
05
—
156472001
—
AR
01
—
300126521
RAIL ROAD MEDICARE
MS
01
—
5M809
BLUE CROSS/ BLUE SHIELD
AR
Enumeration date
06/16/2006
Last updated
10/17/2013
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