Individual
JIMMY J MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 LINCOLN DR, HERRIN, IL 62948-3789
(618) 993-0056
(618) 993-0752
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
(618) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01094030A
IN
207RG0100X
Gastroenterology Physician
Primary
036.131531
IL
207RG0100X
Gastroenterology Physician
14187430-1235
UT
207RG0100X
Gastroenterology Physician
M4691
TX
207RG0100X
Gastroenterology Physician
R-4256
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185127101
—
TX
05
—
185127103
—
TX
Enumeration date
10/10/2006
Last updated
02/24/2025
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