Healthcare Provider Details
I. General information
NPI: 1689666380
Provider Name (Legal Business Name): THOMAS CHRISTOPHER MORRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2005
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
330 BILLINGSLEY RD STE 100
CHARLOTTE NC
28211-3096
US
IV. Provider business mailing address
5960 FAIRVIEW RD STE 500
CHARLOTTE NC
28210-3113
US
V. Phone/Fax
- Phone: 704-405-3963
- Fax:
- Phone: 704-495-6324
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 200100428 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 2001-00428 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: