1417347527 NPI number — RICHARD C MORRISON MD PC

Table of content: (NPI 1417347527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417347527 NPI number — RICHARD C MORRISON MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD C MORRISON MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417347527
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2108 E 3RD ST
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37404-2600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-624-5200
Provider Business Mailing Address Fax Number:
423-624-0559

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2108 E 3RD ST
Provider Second Line Business Practice Location Address:
STE 300
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37404-2600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-624-5200
Provider Business Practice Location Address Fax Number:
423-624-0559
Provider Enumeration Date:
01/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
MORRISON
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER OF LLC
Authorized Official Telephone Number:
423-314-1973

Provider Taxonomy Codes

  • Taxonomy code: 208G00000X , with the licence number:  MD0000011550 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com