Healthcare Provider Details

I. General information

NPI: 1598722589
Provider Name (Legal Business Name): GEORGE B MORRIS III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 SO. CLEARVIEW PARKWAY
HARAHAN LA
70123
US

IV. Provider business mailing address

1514 JEFFERSON HIGHWAY
NEW ORLEANS LA
70154-0001
US

V. Phone/Fax

Practice location:
  • Phone: 504-736-4600
  • Fax:
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD.011067
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: