Healthcare Provider Details

I. General information

NPI: 1194560946
Provider Name (Legal Business Name): GRACE VICTORIA MORROW PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 KILDAIRE FARM RD STE 103
CARY NC
27511-3922
US

IV. Provider business mailing address

929 KILDAIRE FARM RD STE 103
CARY NC
27511-3922
US

V. Phone/Fax

Practice location:
  • Phone: 919-858-0892
  • Fax: 919-342-3472
Mailing address:
  • Phone: 919-858-0892
  • Fax: 919-342-3472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: