Healthcare Provider Details

I. General information

NPI: 1215224902
Provider Name (Legal Business Name): JOSHUA ALTON MORRIS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2408 SUSANNAH ST STE 1
JOHNSON CITY TN
37601-1765
US

IV. Provider business mailing address

2408 SUSANNAH ST STE 1
JOHNSON CITY TN
37601-1765
US

V. Phone/Fax

Practice location:
  • Phone: 423-434-6677
  • Fax: 423-461-0000
Mailing address:
  • Phone: 423-434-6677
  • Fax: 423-461-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102203493
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number0102203493
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number2674
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2674
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: