Individual
DR. TERRY JACK MORRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E RIDGELEY ST, ATMORE, AL 36502-2013
(251) 368-3237
Mailing address
111 E RIDGELEY ST, ATMORE, AL 36502-2013
(251) 368-3237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5750
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121522
—
AL
Enumeration date
07/10/2010
Last updated
11/06/2011
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