Healthcare Provider Details

I. General information

NPI: 1629392931
Provider Name (Legal Business Name): WILLIAM PAUL MORTON CP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 SAINT LEO ST
GREENSBORO NC
27405-3382
US

IV. Provider business mailing address

2800 SAINT LEO ST
GREENSBORO NC
27405-3382
US

V. Phone/Fax

Practice location:
  • Phone: 336-621-9500
  • Fax:
Mailing address:
  • Phone: 336-621-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: