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Individual

SALLY A MORRISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1751 CHARLESTON WAY, BIRMINGHAM, AL 35216-4886
(205) 419-8200
(205) 419-8213
Mailing address
1751 CHARLESTON WAY, BIRMINGHAM, AL 35216-4886
(205) 419-8200
(205) 419-8213

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA389
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051556038
AL
Enumeration date
12/21/2006
Last updated
09/02/2010
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