MEDICARE: ALISON WALTERS MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	8709	TN
2	174400000X	Specialist

General Provider Information

NPI Number	:	1417645417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON WALTERS MORRIS

Provider Business Mailing Address
First Line	:	1514 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4825
Country	:	US
Telephone Number	:	931-381-7591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1514 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-4825
Country	:	US
Telephone Number	:	931-381-7591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	07/09/2024

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