Individual
RANDALL T MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 ADESSA PKWY, SUITE 300, LENOIR CITY, TN 37771-6725
(865) 549-4327
Mailing address
501 ADESSA PKWY, SUITE 300, LENOIR CITY, TN 37771-6725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19458
TN
2083X0100X
Occupational Medicine Physician
MD19458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045185
—
TN
01
—
P00243207
RR MEDICARE PIN
TN
Enumeration date
06/20/2006
Last updated
05/29/2013
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