Healthcare Provider Details

I. General information

NPI: 1740379916
Provider Name (Legal Business Name): EDWARD C. MORRISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 LEONARD FULGHUM DR STE 100
MOUNT PLEASANT SC
29464-3793
US

IV. Provider business mailing address

1327 ASHLEY RIVER ROAD, BUILDING B
CHARLESTON SC
29407
US

V. Phone/Fax

Practice location:
  • Phone: 843-936-5951
  • Fax: 843-936-5952
Mailing address:
  • Phone: 843-577-4551
  • Fax: 843-577-2227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number12290
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: