Healthcare Provider Details

I. General information

NPI: 1073617577
Provider Name (Legal Business Name): JULIE LOVE MORLEY PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 FOX HOLLOW ROAD SUITE 210
PINEHURST NC
28374
US

IV. Provider business mailing address

PO BOX 23329
NEW YORK NY
10087-3329
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-7546
  • Fax: 910-692-2831
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number102999
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: