MEDICARE: MORRIS CLINIC PA

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	207Q00000X	Family Medicine Physician	04398	MS

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	:	1437250909
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRIS CLINIC PA

Provider Business Mailing Address
First Line	:	PO BOX 111
Second Line	:
City	:	MACON
State	:	MS
Zip	:	39341-0111
Country	:	US
Telephone Number	:	662-726-4231
Fax Number	:	662-726-9339

Provider Business Practice Location Address
First Line	:	606 NORTH JEFFERSON ST
Second Line	:
City	:	MACON
State	:	MS
Zip	:	39341-0111
Country	:	US
Telephone Number	:	662-726-4231
Fax Number	:	662-726-9339

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY BRUNSON MORRIS
Credential	:	MD
Telephone Number	:	662-726-4231

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	08/22/2020

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Directions to “MORRIS CLINIC PA ” Practice Location

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