MEDICARE: DR. MARION E MORRISON MD

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	207R00000X	Internal Medicine Physician	9400943	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417944133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARION E MORRISON MD

Provider Business Mailing Address
First Line	:	2804 MATTLYN CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6510
Country	:	US
Telephone Number	:	919-291-1375
Fax Number	:	973-241-9723

Provider Business Practice Location Address
First Line	:	2804 MATTLYN CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6510
Country	:	US
Telephone Number	:	919-291-1375
Fax Number	:	973-241-9723

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	01/07/2011

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