Healthcare Provider Details

I. General information

NPI: 1730611245
Provider Name (Legal Business Name): ZACHARY ALEXANDER MORIE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 COLLEGE ROW UNIT 9101
WILLIAMSBURG VA
23185-3694
US

IV. Provider business mailing address

856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS VA
23601-1318
US

V. Phone/Fax

Practice location:
  • Phone: 757-782-6200
  • Fax: 757-206-1009
Mailing address:
  • Phone: 757-316-5800
  • Fax: 757-534-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0102205611
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: