Healthcare Provider Details

I. General information

NPI: 1104765676
Provider Name (Legal Business Name): AALIYAH MORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 CONCORD MILLS BLVD STE 671A
CONCORD NC
28027-4400
US

IV. Provider business mailing address

2120 KUMARA RD APT 205
CHARLOTTE NC
28262-0306
US

V. Phone/Fax

Practice location:
  • Phone: 864-894-0890
  • Fax:
Mailing address:
  • Phone: 864-894-0890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: