MEDICARE: THOMAS WARDEN MORRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	74581	MA

General Provider Information

NPI Number	:	1467696807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS WARDEN MORRIS M.D.

Provider Business Mailing Address
First Line	:	514 DANIELS ST
Second Line	:	SUITE 187
City	:	RALEIGH
State	:	NC
Zip	:	27605-1317
Country	:	US
Telephone Number	:	919-200-8650
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 DANIELS ST
Second Line	:	SUITE 187
City	:	RALEIGH
State	:	NC
Zip	:	27605-1317
Country	:	US
Telephone Number	:	919-200-8650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	04/29/2009

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