Healthcare Provider Details

I. General information

NPI: 1336188580
Provider Name (Legal Business Name): TUWANNA YVETTE MORRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST NE
WASHINGTON DC
20002-8100
US

IV. Provider business mailing address

6095 PROFESSIONAL PKWY SUITE A-210
DOUGLASVILLE GA
30134-5607
US

V. Phone/Fax

Practice location:
  • Phone: 202-346-3000
  • Fax: 202-346-3902
Mailing address:
  • Phone: 770-949-4188
  • Fax: 770-949-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number053504
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: