Healthcare Provider Details

I. General information

NPI: 1093924094
Provider Name (Legal Business Name): ANDREW PAUL MORLEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 CENTER ST
COLUMBUS GA
31901-1527
US

IV. Provider business mailing address

710 CENTER ST
COLUMBUS GA
31901-1527
US

V. Phone/Fax

Practice location:
  • Phone: 706-571-1200
  • Fax: 706-571-1216
Mailing address:
  • Phone: 706-571-1200
  • Fax: 706-571-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number014939
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: