Individual
GLENN F MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4290 LAKELAND DRIVE, STE A, FLOWOOD, MS 39232
(601) 932-0083
(601) 932-8124
Mailing address
4290 LAKELAND DRIVE, STE A, FLOWOOD, MS 39232
(601) 932-0083
(601) 932-8124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120125
—
MS
Enumeration date
10/03/2006
Last updated
07/08/2007
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