Healthcare Provider Details

I. General information

NPI: 1780467597
Provider Name (Legal Business Name): CALEB ANTHONY MORROW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

501 WILLARD ST APT 341
DURHAM NC
27701-3297
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-7941
  • Fax:
Mailing address:
  • Phone: 704-314-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number332725
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: