Healthcare Provider Details

I. General information

NPI: 1235152349
Provider Name (Legal Business Name): WILLIAM ARTHUR MORRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/15/2024
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7666 CHARLOTTE HWY STE 120
INDIAN LAND SC
29707-7000
US

IV. Provider business mailing address

PO BOX 19305
CHARLOTTE NC
28219-9305
US

V. Phone/Fax

Practice location:
  • Phone: 803-431-8220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number16184
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: