Healthcare Provider Details

I. General information

NPI: 1871267310
Provider Name (Legal Business Name): AIMEE MORROW MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE DURRETT

II. Dates (important events)

Enumeration Date: 08/08/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E WENDOVER AVE STE 311
GREENSBORO NC
27401-1210
US

IV. Provider business mailing address

4709 KIDDLE LN
MONROE NC
28110-7663
US

V. Phone/Fax

Practice location:
  • Phone: 336-272-6161
  • Fax: 336-230-2150
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number19806
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number19806
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: