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General NPI Number Information
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NPI Number | 1942418546
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Entity Type | Organization
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Legal Business Name | JOHN T. MORRIS, III, MD, PC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 780 TRUSE PKWY STE 102
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City | MEMPHIS
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State | TN
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Zip | 38117-5361
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Country | US
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Telephone | 901-288-6255
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Fax | 901-757-0208
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Provider Business Mailing Address
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Address Line | 780 TRUSE PKWY STE 102
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City | MEMPHIS
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State | TN
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Zip | 38117-5361
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Country | US
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Telephone | 901-288-6255
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Fax | 901-763-3435
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN THOMAS MORRIS III
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Credential | MD
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Telephone | 901-288-6255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 29278
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License Number State | TN
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