Individual
JUDY MCCULLOUGH MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 CHURCH ST, CONWAY, SC 29526
(843) 248-6269
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22115
SC
363LF0000X
Family Nurse Practitioner
00000000
SC
Other
Enumeration date
07/19/2018
Last updated
10/02/2023
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