Healthcare Provider Details

I. General information

NPI: 1740339407
Provider Name (Legal Business Name): RICHARD P MORSE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

IV. Provider business mailing address

1103 32ND ST
PHENIX CITY AL
36867-3220
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-1779
  • Fax:
Mailing address:
  • Phone: 706-442-6975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number42094
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: